• MrVilliam@sh.itjust.works
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    2 days ago

    Not just open to exploitation; openly exploited. Disruption to coverage and questions about what could be covered differently are significant factors that cause people to choose not to take a job elsewhere.

    The trick is that health insurance can be bought directly, but it’s just so insanely expensive to do it that way so nobody does. Companies get a huge discount to buy bulk enterprise packages, and then their employees pay for a lot of it themselves. The portion that the company pays for is just an expense of labor, the same as salary, and offering better than the company across the street is an incentive to get better hires.

    The ACA basically was just “hey, you know that discount that companies are getting? Now do it for the state and we’ll offer it to everybody. And insurance companies will like it because people are given incentive to buy this because we’re gonna fine people for not being insured.” Pretty shitty deal, but at least people had the freedom to jobhop or become unemployed and keep their doctors.

    It’s cheaper and easier to buy a gun than to get an abortion in this shithole country.

    • LH0ezVT@sh.itjust.works
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      23 hours ago

      Classic US capitalism: Take a product, triple the price, and then offer a generous 50% discount if you sign up on unfavourable terms.

      But yeah, I guess I am preaching to the choir here.