"We warned the president -- don't ever, ever agree with the Republicans,"

[TheKentuckian]

168. You sound like someone who expects to have access to the exchanges

Most people never will according to the plan.

Not to pick on you because there are several who keep saying "if there was a public option" when it doesn't really matter if there was one because they would still just have to take whatever their employer elects.

Any pressure on costs will be extremely minimal. Yes, even the market reform is mostly a hoax. The exchanges have been touted as a cost controlling aspect themselves and people have been given the impression that they will be going online and getting to exert the power of the purse over the cartel which allows market forces to correct issues of both quality and cost and it just isn't the case. Most people will just go on as they have minus the option of dropping your employer based plan if the coverage stinks, it costs too much, or both.

The plan makes questionable to terrible assumptions about the large group market in fundamental ways from plan popularity, to cost, to rate of growth, to quality of coverage which bake significant levels of FAIL into the cake, it through great pains and convoluted paths leaves all existing structures and profit centers firmly in place, and does not address cost control while creating a precedent of unbounded government ability to dictate after tax spending of the individual, even to compel activity and confer the decision making process to a person's employer.