Table of Contents Biden Aims to Build on Obamacare’s Cost-Cutting Measures Certified nursing assistant Princess Makor serves lunch to Pauline Sorrow at a COVID-19 field hospital in Cranston, Rhode Island, last month while Sorrow’s husband, Peter, also sick with the virus, watches. Health care spending has slowed somewhat since the Affordable Care Act passed in 2010, and President Joe Biden says his health plan will continue to decrease health expenditures. David Goldman The Associated Press In the decade-plus since it became law, the Affordable Care Act has helped slow the explosive growth in health spending. But the United States still spends about twice as much per capita as other wealthy nations.