ACA has helped protect low-income patients from catastrophic spending for surgery

n the years after 2014, when the Affordable Care Act’s health insurance marketplaces were established, low-income patients who underwent a surgical procedure saved an average of $601 in out-of-pocket spending and $968 in premium spending per year, compared to before the marketplaces existed. Those low-income patients also had a 35% lower chance of having catastrophic levels of household medical spending.

However, for middle-income patients, spending levels were about the same before and after the marketplaces began.

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