@JPB,
I think the one of the very biggest problems in all of healthcare is the unfairness to really small business owners. I will give an example.
My mother is 64 and a nurse at a hospital. Not only does she make a very nice salary (something over $43 an hour the last I heard... 18 years in)... but she also get's great insurance. The insurance premium she pays for both her and my dad (also 64) is $325 a month with a $1,000 a year deductible... I think she might have even said it was only $500. This is with my dad's history who has diabetes and has already had a bout of prostate cancer. Because my wife and I own a business, we don't get a 'group discount' for insurance. I looked into getting the same policy as my parents (who are 22 years older than us)... and our premium for just the two of us was $800 a month plus a $2,500 deductible each / $5000 for the family (of two). My point is it's always been too high to pay. Now we will be forced to either buy it or pay a penalty which also will do us no good. Last year I paid $22,200 in taxes... so now I guess I'm going to have to pay an additional $2,000+ (after this year because it's only about $900 this year).
I get that YOU'RE thrilled... you had a previous stroke. Why should my wife and I have to pay a ton of money though?
Yeah, I guess you could say... well why don't you get a job at the hospital like your mother? If I could I would, but that's not what I went to college for. It wasn't this crazy 14 years ago when I started college, otherwise perhaps I would have aimed towards a job at a hospital.
I think the solution for millions of people who own small business (and their families) is that they group similar professions together so they can get similar pricing on health insurance. This $1,300... $1,600 a month for health insurance is crazy. Because we made nearly $90,000 we owe a lot more in other bills. So a family that makes $32,000 will end up getting their insurance free (because of subsidies). Well take away the money we paid in college loans last year $15,000 and the $22,200 in taxes and see how much more we have to pay. Subtracting those two 'fees' (which that 30K family doesn't have) and suddenly 90,000 is down to $52,800.
So I'm confused as to why I spent all those years in college, went WAY into debt... all so I could have Obama do whatever he can to have everything even out? I get families making in the $30k range can't afford what I can, but don't you find it ridiculous that a family like that gets a lot of things free... pay no tax... or very little and get Medicaid or free/next to free Obamacare. How is that fair? They should have to pay $350 a month for a family of four... then that brings the costs down for someone like me to $600 a month with a more reasonable deductible of $1,000 a person or $2,500 a family.
$20,000 for a family of four is just too much and you're going to find that many people making around the 4X range won't buy it because they can't afford it or just refuse.
Think about it... I'd have to pay $19,480 BEFORE the insurance kicks in. That's sick. Not only that, but imagine if you all of a sudden have a big hospital bill in December... and it spills into January the next year... then you might end up paying $20,000 in bills within a two month period. It's just outta control and the only people that would agree it is are people paying low amounts for their new care.