This odd belief system that the republicans are responsible for the ACA clusterfuck.

[IronLionZion]

156. I've been on the hiring and financials side, it's a lot more complex than you may think

Any company that makes hiring decisions primarily on taxes or mandated benefits isn't going to be very successful. Depending on the business, its more of a cost-benefit analysis where they want to attract the best talent they can afford by offering attractive packages including benefits and job security.

The best workers will demand insurance coverage and keep applying to other jobs until they get it.

job mobility:
Many of the most experienced professionals approaching retirement age in firms like law, accounting, consulting, etc. would eagerly go freelance for better work/life balance if they can have affordable individual plans rather than being locked into a firm mainly for the health insurance. It happened in Massachusetts. I personally know folks who have done it. There is also an unrelated trend towards staff augmentation through contract/consulting/temp workers. There are firms who specialize in getting experienced semi-retired workers.

more patients issue:
Private equity actually did something useful for a change. They have been investing heavily in urgent care centers and walk-in clinics in a big way. I have seen tons of them sprout up here in MD. I had called tons of private practices trying to get a weekend appointment for a physical a few years ago and decided to go to an urgent care center instead because of their extended hours. I've stuck with it. This is the future of this country and it will take pressure off of crowded emergency rooms and private family practices while charging lower prices due to efficiencies of scale. Endless screaming about the "nursing shortage" has filled the ranks of nursing schools who have graduated lots of new nurses and physican assistants who need jobs and experience. Here's an opportunity. The goddamn Republicans of all people are advocating plans to encourage medical schools take on extra students who want to be general practice doctors due to the shortage.

What's wrong with more patients at health care providers? These folks had no access before and they finally do. Many for the first time in their lives. There's pent up demand for physicals and lab testing and cancer screenings and resulting job opportunities in the healthcare provider fields. A-hole republicans worry about waiting longer to get an appointment when many Americans have been waiting their entire lives.

There is hope and change in health care reform. Get everyone covered and then forward towards single player