Dr. Pepper, thanks for details. It is very similar to the system Cuba/USSR/China have – where central government gets to decide all issues in society. Note that most of “deciders” are not Talmudic scholars but have bachelor degrees in nothing. US used to have a similar system in defense until it was partially broken during Reagan times, with more robust competition introduced among a small number of suppliers.
As you describe it, the ACA-type systems favor large companies – not just by these required payments but, in general, by making compliance complicated and costly. Between accountants, lawyers, consultants and management time, small businesses can’t really deal with all the good intentions… Resulting consolidation, in return, justifies government intervention as the market is destroyed.