Small business owners like Justin Miller are feeling the strain as their employees face a staggering $5,000 hike in health insurance costs due to recent Republican policies on the Affordable Care Act. This situation is particularly challenging for Miller, who runs a 113-year-old family fruit farm and relies on the Obamacare exchanges to provide coverage for most of his workers. The emotional toll of having to confront employees about these rising costs makes it a tough pill to swallow, highlighting the broader implications of healthcare policy on small businesses and their workforce.