A lot of folks seem to have forgotten, the dramatic and consistent rise in the costs of premiums and treatment that had been going on...long before ACA.
I recall a huge issue in sitting down with unions in the late 90's and early oughts, in renegotiating the Collective Bargaining Agreement (CBA), was their outrage of how much their portion (at that time based solely on a % of the company's total cost)...had risen in recent years.
This was actually their #2 concern, behind wages of course...but well ahead of work rule changes.
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