[tptacek]

No it doesn't. It doesn't scrap employer-provided care, but it takes significant steps towards alternatives.

The major reason employer-provided care is dominant is that employer care is guaranteed-issue and automatically deducted. Employees of large companies are not screened or given physicals before insurance is extended.

Under PPACA, all health insurance is guaranteed issue. And while enrollment isn't automatic, it's enforced; you're fined if you don't get insurance.

[jacoblyles]

Employer provided care also comes out of pre-tax money. So employers get a big discount compared to what you would pay for the same plan.