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This year marks 11 years since the passage of the Affordable Care Act (ACA)—also known as Obamacare—and seven years since its key elements took effect. In that time, health insurance premiums spiked, coverage options fell, and more Americans became dependent on government-run health care. This Backgrounder examines the changes in these three areas—premiums, choice, and government-run care—and outlines ways that Congress can reverse this trend. (For a summary of changes in all three metrics, see Appendix Table 1.)

A lot from dems talking about robert wilkie like they did. always create problems for trump nominees? >> i do think robert wilkie is going to be easily confirmed. i do think unfortunately he will be the first v.a. secretary nominee to not receive unanimous vote. that's not a reflection of robert wilkie you have people like bernie sanders play political games. he already said he wouldn't support robert wilkie vote against him in committee. not because he doesn't like robert wilkie he is making a statement against trump. that's unfortunate. todd: if he is confirmed what does he need to do to tur...

Providing millions of americans with obamacare relief. it directs the department of health and human services, the treasury and the department of labor to take action to increase competition, increase choice, and increase access to lower priced, high quality health care options. david: president trump promising his new health care executive order will increase competition and decrease premiums. steve, you say he's on the right track. how ask going to work? >> what it's going to do is allow flexibility in the individual market. the individual market for health insurance has been decimated by ob...

It lets them sell cheaper, bare bones policies no longer requiring maternity or substance abuse coverage. and the order lets them charge more to groups and businesses with sicker people. critics say it destabilizes the health care market place. but the president described it this way. take a listen. >> it directs the department of health and human services, the treasury, and the department of labor to take action to increase competition, increase choice, and increase access to lower priced high quality health care options. and they will have so many options. this will cost the united states go...

Treasury, and the department of labor, to take action to increase competition, increase choice, and increase access to lower priced, high quality health care options. and they will have so many options. this will cost the united states government virtually nothing, and people will have great, great health care. and when i say people, i mean by the millions and millions. first we aim to allow more small businesses to form associations, to buy affordable and competitive health insurance. this would open up additional options for employers to purchase the health plans their workers want. i'm also...