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again based on my imperfect knowledge of what is being proposed + the fact that we are still dealing only with proposals, at times inconsistent ones.
I think that small businesses (with I am sure a definition of what "small" actually means) WILL have access to the PO, either as an organization or their employees or both, I am not sure.
And I agree that some employer plans are too expensive for many of their employees. This was the case at my previous job, a small liberal arts college. I was paying roughly $400/month for me and my husband and it was kind of difficult, and my salary was in the top 20% or so. I know there were many that did not get the insurance, they just could not afford it. BUT there will be subsidies, though Obama did not specifically mention them yesterday. So there will be some kind of help to make it easier to afford what you need.
As for he competition, I have a problem with that as well. I am not sure how it will work, especially in states currently dominated by a very small number of insurers. The answer in principle is in these exchanges, but if you only have 2 or 3 private insurers + hopefully the PO in the exchange... I do not have an answer for that :-(.
And as a side note, a few comments about single payer. I spoke a few days ago with a close friend who lives in France. Yes, they do have single payer for which taxes (a lot, though I do not know how much percentage wise) are paid. But because of the financial difficulties, the percentage that you have to pay out of your own pocket when you go and see a doctor or for prescription drugs keeps increasing in recent years. And most people, including my friend who is struggling financially, are buying additional insurance. She told me that hers is about 80-90 euros/month, she seemed to think that it is a lot, I wanted to laugh, but that's ON TOP of the tax she pays specifically for "social security" as it is called over there. I still think it is a better system, but it's far from perfect as well...
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