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Health Care Reform:

Health Insurance & Affordable Care Act

WebMD News from Kaiser Health News

Some Obamacare Enrollees Emboldened To Leave Jobs, Start Businesses

By Stephanie O'Neill, KPCC

Tue, Apr 29 2014

LONG BEACH, Calif. -- Until recently, Mike Smith, 64, worked 11 hours a day, Monday through Friday and then half a day on Saturday, as a district manager for a national auto parts chain -- a schedule he’s kept for nearly 40 years. Early retirement, while certainly appealing, wasn't a viable option for him because both he and his already-retired wife, Laura, also 64, relied heavily on his job-provided health insurance.

"At our age, with some preexisting medical conditions, it would have been very costly to buy insurance on the open market - about $3,000 a month," he says.

But the Affordable Care Act changed that. The federal health law bars insurance companies from charging higher premiums to those with preexisting conditions, so the Smiths have been able to find a plan they can afford. The couple pays $200 a month for a subsidized health insurance policy they bought through California’s state-run marketplace, Covered California.

And that’s brought a big change to Smith’s household: He’s joined Laura in early retirement. That means more time for him to help Laura care for his elderly in-laws as well as more down time to pursue some budding passions, namely playing his guitar and cooking new recipes.

But early retirees aren’t the only people benefitting from the federal health law.

A recent study by Georgetown University and the Urban Institute predicts the ACA will enable up to 1.5 million Americans to leave unfulfilling jobs and become self-employed or start new businesses. It's a finding that runs counter to forecasts by ACA critics, who contend the federal health law will cost the nation jobs and cripple America's small business economy.

It will take years to know for certain how the health law will change the work landscape broadly, but already the law has changed life for Rebecca Murray.

Last year, the Chicago resident says, her husband — a freelance IT worker — was diagnosed with chronic spinal arthritis. He needed good health insurance, which he received through Murray's job as a social worker for a dialysis corporation. But Murray didn't like her job.

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