A less-noticed expense should cause greater alarm: rising premiums for health insurance. Meanwhile, since 1999, health insurance premiums for people with employer-provided coverage have more than quadrupled. In this market, state regulators scrutinize insurers’ proposed rate increases, but only if they exceed 15%. Large employers that manage their own health care plans might be able to negotiate better deals for their workers. If voters paid as much attention to the price of health insurance as they do to the cost of gas and eggs, maybe elected officials would respond with more action.