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The Affordable Care Act ( Aca )

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INTRODUCTION The United States spends a lot of money on health care and people are starting to notice. The passage of the Affordable Care Act (ACA) was not only supposed to make health care more accessible, but also more affordable. Despite that health care spending has continued to increase and people across the country are voicing a growing concern about what it costs to keep themselves and their families healthy. Politicians on both sides of the party lines speak often and with passion about this health care crisis in America. Everyone agrees that health care takes up too much of the economic pie, but despite the enormity of this problem no one can agree on just why that is and how exactly go about fixing this crisis. The fact is that the U.S. spends more money on health care than any other country in the world, even when adjusting for relative wealth, according to a 2008 study by Mkcinsey Global Institute (MGI). In 2012 that number was about 2.6 trillion dollars or 18.6% of their gross domestic product (GDP) (13), in other words the U.S. spent about 8,915 dollars per person on health care, or more than twice what they spent on food and more than China spent on all goods and services combined (See Figure 1, MG1 2008). The amount spent on health care is expected to continue to rise , though that rise has slowed in the last three years, estimates suggest it could reach nearly 4.8 trillion dollars by 2021; which would be roughly one fifth of the U.S. GDP (15)

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