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The real issue generally speaking is people with union negotiated healthcare tend to really like their health insurance because in at least certain cases, they're getting Cadillac plans that give them a one up on seeing the best doctors around, in addition to in certain cases paying less in premiums than they would be taxed for M4A.

The second piece is that M4A is a huge unknown, and so they'd want to keep their health insurance because they're afraid that what the government will offer will ultimately be worse.

The first point is certainly easy to address as that money would then likely be renegotiated to result in salary increases, but with regards to the second, what would stop a republican administration from doing things like, effectively banning abortion by refusing to pay doctors who perform them through executive order.



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