Hard Promises: Has the ACA Made Health Care More Affordable?

The United States has long had the most expensive health care system in the world. The Affordable Care Act (ACA) accordingly sought to “bend the cost curve” and reduce the rate of growth in medical care spending. In a country that spends over $3 trillion a year on medical care, amounting to more than $10,000 per person, controlling health care expenditures is a hard promise to keep. Has the ACA fulfilled the aspiration to make health care more affordable?

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Publication Details

Journal
UNC Libraries
Published
2025-08-27
DOI
https://doi.org/10.17615/p2ym-0y36
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Hard Promises: Has the ACA Made Health Care More Affordable?

Jonathan Oberlander
UNC Libraries
Healthcare Policy and Management
article

Hard Promises: Has the ACA Made Health Care More Affordable?

Jonathan Oberlander
article en

Abstract

The United States has long had the most expensive health care system in the world. The Affordable Care Act (ACA) accordingly sought to “bend the cost curve” and reduce the rate of growth in medical care spending. In a country that spends over $3 trillion a year on medical care, amounting to more than $10,000 per person, controlling health care expenditures is a hard promise to keep. Has the ACA fulfilled the aspiration to make health care more affordable?

UNC Libraries
University of North Carolina at Chapel Hill (US)
Openalex Percentile: Top 57%
Healthcare Policy and Management
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Hard Promises: Has the ACA Made Health Care More Affordable? — Jonathan Oberlander · UNC Libraries (2025) | TGRS Research Map | TGRS