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The deceleration in healthcare costs preceded the ACA, and can mostly be attributed to a slowdown in economic growth (1,2,3).

1 . https://www.ncbi.nlm.nih.gov/pubmed/25092842 2. https://economics21.org/html/sorry-nyt-medicare-cost-problem... 3. https://economics21.org/html/obamacare-not-making-healthcare...