Unleash Prosperity & Paragon Health Institute

The Affordable Care Act (ACA1) was jammed through Congress in 2010 with several enticing promises. Fourteen years later, we look back at the very different real-world results:

• At least a dozen significant promises were broken.
• The ACA was supposed to “bend the cost curve” downward, but health care costs increased instead. Premiums for individual market plansdoubled.
• Although touted as a means of reducing the deficit, the ACA has added hundreds of billions to cumulative deficits and is a significant contributor to the growing national debt.
• The most famous broken promise was that people would not lose preferred insurance plans and doctors. Seven million consumers had theirplans canceled already by the end of 2013.
• Medicaid was supposed to be the cheaper way of expanding insurance coverage. In the real world, the per enrollee cost of Medicaid expansion is nearly 60 percent greater than what experts projected.

This report provides details on these and eight other broken promises regarding life expectancy, emergency room usage, enrollment of unauthorized immigrants, and more.