Harold Pollack sizes it up:
I suspect the worst backlash won’t actually come from uninsured or under-insured people who actually buy coverage on the new exchanges. Backlash will come from people with pretty crummy jobs who hear that their hours are cut back. Backlash will come from people with limited employer-based coverage who face higher premiums or encounter other changes such as disliked wellness provisions. Some will look across the fence at decent plans on the new exchanges, only to discover that they can’t receive subsidies if they spurn their employer’s coverage.
Thousands of employers will blame “ObamaCare” for whatever unpopular moves they impose their workers. It’s the obvious play. In many cases, this blame will be mostly or entirely misplaced. Other times, the blame will be justified, reflecting glitches or unintended consequences of the new law. Either way, many workers will believe what their employers tell them. Millions of workers with relatively modest incomes will see their lives getting a little worse when they were hoping that health reform would make their lives a little better. Other people—I suspect many more—will see their lives getting a little or a lot better. Some of the most deserving people will seek benefits and medical care–only to discover that no help is forthcoming because their states rejected Medicaid expansion. Republicans had better hope that this is a disorganized and politically marginal group.
Cohn compares Obamacare to the status quo:
America’s most cherished programs evolved over time: Social Security famously left out agricultural and domestic workers, and didn’t provide the support it does today. Obamacare, as enacted, has similar deficiencies. The minimum coverage that the law guarantees everybody is not that generous, which means even some people with insurance will face high out-of-pocket expenses.
But the relevant comparison is to what those people have now—frequently even less protection, or no protection at all. And that’s the standard by which to assess all of the law’s side-effects. Are employers squeezing retirement health benefits? Yes—but they’ve been doing that for years, long before Obamacare came along. Are some part-time workers losing hours? Yes—but part-time work was rarely stable and at least now all part-timers can get health insurance. Will people trying to buy insurance on the new online marketplaces sometimes find the process difficult and frustrating? Yes—but buying individual coverage is even more complicated and nightmarish now. As a recent Kaiser Foundation briefing notes, the standard applications for insurance in Wisconsin and Illinois include five pages of questions on medical history alone. Under Obamacare, insurers won’t be asking those questions at all.