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CBO estimated that ACA would slightly reduce the size of the labor force and number of hours worked, as some would no longer be tethered to employers for their insurance. Jonathan Cohn claimed that ACA's primary employment effect was to alleviate job lock [] and the reform's only significant employment impact was the retirement of those who were working achieve health family medicine to stay insured.

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Some elements were more widely favored preexisting conditions or opposed individual mandate.

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