HealthPolitics

Opinion: What I got wrong about the Affordable Care Act — and how to fix it

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Based on a feed excerpt; full article content has not been acquired. Source evidence retrieved 22/10/2026, 12:36:25 UTC.

Briefings

The author joined a 2009 letter of 11 economists urging Congress to pass the Affordable Care Act (ACA) to address rising health care costs. A 2010 Institute of Medicine report identified $750-$765 billion in wasteful spending in 2009, representing roughly 30 cents of every health care dollar. The author notes the ACA expanded coverage but did not immediately 'bend the cost curve' as initially hoped.

Key points

• In November 2009, the author joined a letter signed by 11 economists urging Congress to pass the Affordable Care Act to address rising health care costs.
• A 2010 Institute of Medicine report identified $750-$765 billion in wasteful health spending in 2009, representing roughly 30 cents of every health care dollar.

Context

The author joined a 2009 letter of 11 economists urging Congress to pass the Affordable Care Act to address rising health care costs. A 2010 Institute of Medicine report identified $750-$765 billion in wasteful health spending in 2009, representing roughly 30 cents of every health care dollar.

Limitations

Evidence is limited to a single author's perspective from a 2009 letter and a 2010 Institute of Medicine report. No specific dates for the cost curve bending, specific outcomes of the ACA beyond coverage expansion, or causal claims linking the 2009 letter to later cost reductions are provided.

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