Many people currently get their Michigan health insurance coverage from work, and they benefit from an implicit subsidy built into that workplace coverage that lets them spend pretax dollars through their employer to purchase health insurance. Depending on their tax rate, that subsidy helps offset some of the premium costs, says Scott Gottlieb, a resident scholar at the American Enterprise Institute.
Under the Obama plan, however, many of these families could instead find themselves buying their health insurance on the new state-based exchanges that get started in January 2014.
The end result of giving the middle class the runaround is that they'll be paying higher premiums for the same coverage (or broader coverage that they didn't want in the first place).
And this only hints at the eventual pervasiveness of the exchanges: because of their government support, it is almost certain that they will eventually dominate the market.
This will funnel middle class workers into exchanges where they make too little to be able to pay the total cost of the premiums, but make too much to be eligible for assistance.
Source: Scott Gottlieb, "The Obama Health Plan Will Squeeze the Middle Class," Real Clear Markets, May 9, 2012.
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