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Lots of people would exit the traditional job market, millions would start small private business. Pay would go up both because of the healthcare savings to companies and because people would stop working shit jobs for shit pay just to keep health insurance.
It might also lead to a massive recession as for profit healthcare providers and services last l lay off workers and go bankrupt.
So mixed bag probably good overall for workers, very bad for capitalists. But there would be a massive labor disruption and lots of people would be on the losing side initially.
I would support a transitional system where every say 5 years we lower the age for Medicare access so we gradually ween off the old system and the healthiest most profitable pool stays in the old system the longest.
It still screws over the next generation which I don't love or think it's fair but the ACA created a system so entrenched I don't think there is a way to roll it back without causing pain.
While I don't think this is a really big thought in the minds of CEO of large corporations but by tying healthcare to work it does keep potential competition from growing in the marketplace. More difficult/impossible to start your own competing produce/service without healthcare.
The problem with weening off is that every time it becomes a huge fight that doesn't go anywhere.
i would prefer a hybrid of private and public, which would mitigate problems. i think 11+mil are on ACA plans, likely alot of them are in gop states, which is why REpublicans constantly teasing to repealing every election cycle, they know they cant or they would lose thier elections.
also medicaid has this wierd rule, that recoup losess on 65+ people who pass away.
I think kids (and by extension maternal care) should be added to that list early on