keep rising, as they have for decades, we also know that since the law took effect, health care spending has risen more slowly than at any time in the past 50 years. in the decade before the affordable care act p. insurance rose 8% a year. last year it grew at half that rate. under this law real medicare costs have nearly stopped growing. the life of medicare trust fund has been extended by ten years. and the independent congressional budget office now expects premiums for plans on the marketplace to be 15% lower than originally predicted. those savings add up to more money families can spend at businesses, more money the businesses can spend hiring new workers, and the cbo now says the affordable care act will be cheaper than recently projected. lower costs from coverage provisions will shrink our deficits by an extra $100