Another employer case study: Spirit Aerosystems, headquartered in Wichita. Instead of offshoring their jobs from an Oklahoma site, they partnered with the UAW union to fix health care with direct contracting for primary care. A unionized workforce can be a powerful incentive for change – collective bargaining agreements often prevent the type of cost-shifting and cost-sharing increases that many employers are forced to adopt. As a result, they get creative and sometimes make unionized health care great again!