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Find many great new used options and get the best deals for unlocking obamacare a business guide to lowering costs increasing options and staying within the law by porter talbot 2015 trade paperback at the best online prices at ebay free shipping for many products. One example of the apparent disconnect some companies are blaming the acas 40 percent tax on higher cost cadillac health insurance as reason to raise plan costs or curtail coverage. Obamacare is likely to exacerbate many of the concerns and costs that are already burdening businesses particularly small business owners in at least four ways 1 higher health care costs. Medicare only covered the first 2840 in prescription drug costs before obamacare the patient paid 100 up to 4550 before medicare coverage kicked in again the aca helped cover the costs of the doughnut hole 250 per patient in 2010 50 in 2011 and 100in 2020. Those family cost savings of course have not materializedin year six even with lower than anticipated enrollment in the health insurance exchanges and the refusal of 21 states to participate in the laws medicaid expansion the health care cost curve is still on an upwardly mobile trajectoryit is fueled by sharp increases in both public