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If they amended ACA to allow employees of small businesses, say under a hundred, migration to single payer would happen sooner. Chances are employers will save money (administrative costs). Cost borne by employees should be made tax deductible. I am not sure how premiums for employees that are older or with serious health issues can be dealt with. Of course, enforcement will also be an issue. I am throwing the number hundred just for a discussion.
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The issue today is the same as it has been throughout all history, whether man shall be allowed to govern himself or be ruled by a small elite. Thomas Jefferson
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