"The state-by-state health insurance exchanges, which launch Oct. 1, 2013, are the linchpin of Obamacare’s plan to cover the uninsured. The exchanges will benefit a minority of low-wage union members who don’t currently have employer-provided health insurance. But they may harm many other union members who are covered through union-affiliated multi-employer health trusts — which are prevalent in construction and in low-wage industries like grocery and janitorial.
The harm would come chiefly because union members and their employers won’t have access to individual subsidies, or to small-employer tax credits, for insurance purchased on the exchanges. But their nonunion competitors will."
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