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The careful tailoring of work hours to avoid healthcare requirements was a thing long, long before the ACA.

Not in the US. Prior to the ACA there was no requirement to give FTEs health care.

Incorrect. It seems mandates were state-by-state prior to the ACA, and certainly existed. Here's a quickly dredged up citation.

https://www.npr.org/sections/health-shots/2014/09/16/3489562...

What are you citing? There's nothing in that article about hours or benefits that accrue to FTEs only. Did you even read it?

In the dark red states, sure. Not everywhere. Most places added those requirements 30 years ago.

It’s not just health care. Intrusive regulation like requiring a nominal amount of paid sick leave is mandated in my state over a certain number of hours. (32 iirc)

By "not everywhere" you mean... Massachusetts? Benefits like paid sick leave are rounding errors compared to health care.

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