The question that should be asked to these fools, but it won't, is just how do the expect unions to sign off on this plan. As Ryan mentioned, unions have negotiated for years health benefits for their members. Often having to give back things in order to increase or keep already awarded benefits. Hell, just look at how difficult it was and how indifferent the Buffalo Teachers were to the public outrage over their cosmetic surgery rider on their health insurance.
There is no way unions are going to sign off on this. Michigan, Ohio, Pennsylvania and Wisconsin. 64 electoral votes. Good luck with that.