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The Affordable Care Act was passed in 2010 with the goals of controlling healthcare costs and decreasing the number of people without health insurance.
While progress has been made to expand coverage (the percentage of uninsured Americans dropped from 17% in 2003 to 12% in 2018), overall expenditures continue to rise.
In the United States today, healthcare comprises about 17.9% of GDP vs. 17.3% prior to the Affordable Care Act, consistent with what has occurred over the last 50 years. This is a frequent topic of discussion on the 2020 campaign trail and there are many varied proposals.