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In order for the overall plan to work, young, healthy, people (especially men) must be forced into regular ACA plans so that they can subsidise others. Low cost, high deductible, plans and HSA accounts mostly benefit this group because they are less likely to use medical services on a routine basis.. The exchanges will be mostly working by March 2014, but by then the risk pool will be dysfunctional. In the meantime, real net prices will creep up, if only through implicit rationing and restrictions on provider networks.
Instead of benefitting workers, this provision in the ACA is actually harming them. Although many smaller businesses are slowing or halting their plans for growth, businesses of all sizes are having to reduce the hours of workers who had been working 40 hours a week.