In January 2016, Congress passed a bill repealing the Affordable Care Act (ACA) without a replacement; this was vetoed by the president. Because considerable controversy exists among ACA opponents on what should replace the ACA, the prospect of repeal without replacement merits analysis. We compare future health care coverage and costs with the ACA in place and with the law repealed and present national and state specific findings. Among other results on coverage and government and private health care spending, we find that by 2021 the number of uninsured would rise by 81% if the ACA were repealed.
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