@Henry Yang @球王书王孩子王 "CMS said that the ACA had only a “minimal” impact on the slowdown in spending. " You should not just quote the sentence that reflects one side view and claim victory. Right after your quotation, there is a sentence read "ultimately, though, that is a subjective call". I can get partial facts from the same article to support my point, such as per captal cost growth rate on healthy care was only 3% in recent years(2008~2012), comparing to average 6% during Bush era. That is 50% slowdown. It is a huge reduction. If ACA gets millions people coverage, and reduces healthcare inflation, at what base you call it disaster?