For those of you who think the current system was just fine, that people were just being freeloaders or lazy over their insurance priorities, step right up to get punched in the face. Since 1980, healthcare costs as a percentage in the United States has risen from 10% of Gross Domestic Product (GDP) to over 17% currently (and rising). That a 7% involuntary private tax increase on every single dollar exchanged for any good or service transacted in relation to the United States. To put that in today's dollars, that's a 1.2 TRILLION dollar per year INCREASE. That expenditure puts us at nearly double the next countries spending and well over double for the average of the top ten spenders. All the while, our "best of the best" has slipped into the 30s in worldwide ranking in overall effectiveness, putting us in the company of what most here would consider to be "third world" countries. You may not be paying it on a form in April all nice and laid out to gag on, but you're paying it every single time you spend a penny. Has this occurred from inflation or rising costs of supplies simply being passed on? Nope. That's what GDP comparisons are good for, if all costs are up, percentages stay flat as everything is equally passed. What we have instead is a mass consolidation of health care services that was created and utilized to form a small group of massive regional health systems that are artificially controlling the market. There is no free market. Your independent doctor is gone. He's now a part of a coverage network and spends his days at billing seminars instead of medical advancement training. Everyone in the entire food chain is working some scheme to jack up items by thousands %. The 2 cent aspirin becomes the $10 pill with no competition or questioning. 32 states do not allow a nurse practioner to write prescriptions although studies have shown time and time again that they have better success rates at a lower cost for "everyday" types of medical issues and a higher satisfaction rate with their clients. In the states that don't allow them in place of a doctor, they are still the primary workers in a doctors office doing screening, blood, etc. Corporations that initially went along with it, to give them leverage to keep older, more experienced and valuable employees with better benefits are now buckling under the weight of the monster. They are slashing their coverages, jacking their deductibles to the roof and trying to part time or layoff any employee that might up their risk pool. Even governmental entities are feeling the pressure. My own wife was a city employee. She got cancer. We went to the big cancer hospital with all the latest advancements. The problem was that most were considered "experimental" (since they don't cure cancer) by the insurance company (a city program, don't forget) and so on top of what was covered, we also sucked up another 6 figures in cost for each of the three years until she died. During this time, two more employees in the city also got cancer (more than 800 employees..not a high statiscal occurrence) but the costs were so high for the city that they actually had to drastically modify their health plan, basically going to a catastrophic coverage program coupled to a health savings plan that left some interesting gaps for employees used to small co pays and coverage on just about anything. After her death, that left me with individual buying on the open market that runs me more than $800 per month for my family for a garbage plan (sold my business off to deal with costs and time commitment for the big C, so no group policy opportunities). Additionally, 99% of LCOs will never reach the amount of employees to have even the possibility of a group buy. Banding together as an association of buyers or other similar groups to increase purchasing power has been banned by law during this entire skyrocketing costs period. Right now, if you are working another job or relying on your spouse's employment (or other governmental coverage) you are subsidizing your lawn operation's true costs and not passing those along to your customers. Artificially deflating your operation costs and criticizing those who cannot cover theirs by asking for their business to provide. Hypocrite. You ask how will it be paid for. It's already being paid for on every dime you spend. Your questions should be how can we get a grip on these damn costs and stop our race to the bottom. The tables have already been tilted deeply against you, the small business owner, not by free markets but by careful planning and execution, far more severe than any national competitor might do to you in your local market. It's come by monopolization and legislation and it's time for you to get your head out of your ass.