A primary goal of the Affordable Care Act (ACA) was to make health coverage affordable and expand coverage. But the ACA made health care unaffordable and left the formerly-insured better off with no coverage. People with health coverage can rack up huge medical bills despite having insurance because Obamacare destroyed their insurance — at least the kind of coverage they once had. It is far cheaper for most to just pay bills out of pocket with the money they saved by going bare.
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