The only statement that doesn't make sense to me is "employers
think Medicaid and other such programs will take care of their healthcare needs".
If a person is employed, chances are their gross or net will surpass the required monetary restrictions placed on these such programs.
I don't think someone will quit there union job to get medicaid, but who knows, people with pre-existing conditions have been known to freak about their continued healthcare. Just my 0.02 worth.