The Broken Promises of the Affordable Care Act | Mercatus Center

More than six years after the ACA’s passage, these promises can be measured against reality.

  • It turns out that while the percentage of individuals without insurance has declined, enrollment in the exchanges is far below projections;
  • exchange enrollees are much older and poorer than expected;
  • competition in the individual market has decreased, rather than increased;
  • rather than falling, premiums have increased significantly in both the individual and employer-sponsored markets;
  • the law’s Medicaid expansion, which is responsible for the vast majority of rate decline in uninsured Americans, came at a far higher cost than expected;
  • the law has increased, rather than decreased, overall healthcare spending; and
  • the ACA has negatively affected economic growth, despite promises to the contrary.

Source: The Broken Promises of the Affordable Care Act | Mercatus Center

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