Rod Serling could not have written a better story than that of the rollout of Obamacare. Gazing into the future he saw imaginative and surreal happenings which he shared with all of us. He died at an early age (50) and hopefully so too will Obamacare.
"The Twilight Zone" was a television saga from the 1950s when most things on TV were on black and white, which were appropriate colors for this science fiction anthology. When one watched this series your frame of reference was always questionable for the things, places and times were not what you were led to believe, and only at the very end did you find you were following 'The Pied piper'.
After analyzing the Affordable Care Act I was doubtful about it's mechanisms although I was very much in favor of it's end game (to produce an equitable and accessible health care system) as were most physicians.
To say that the Affordable Care Act was well meaning would be a platitude for a destructive and wanton negligent act. My opinion has become more hardened since October 2013 when this 'great hope' for change went into effect.
My relatively neutral opinion at the time was a precautionary tale, as I hoped I would be incorrect. It has not been, and much worse than I could have imagined.
In additon to the direct effects on the health system, the collateral samge is worse for the economy including employment. The CBO (Congressional Budget Office) states succinctly ,
"The reduction in CBO’s projections of hours worked represents a decline in the number of full-time-equivalent workers of about 2.0 million in 2017, rising to about 2.5 million in 2024. … CBO estimates that the ACA will reduce the total number of hours worked, on net, by about 1.5 percent to 2.0 percent during the period from 2017 to 2024, almost entirely because workers will choose to supply less labor – given the new taxes and other incentives they will face and the financial benefits some will receive. … In the longer run, some businesses also may decide to reduce their hiring or shift their demand toward part-time hiring – either to stay below the threshold of 50 full-time-equivalent workers or to limit the number of full-time workers that generate penalty payments."
Scott Gotlieb goes on to explain;