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The Affordable Care Act Is Working. Share on Facebook Share on Twitter. It is now four years since the Affordable Care Act was enacted. And in more than 30 years in government, Iâve never seen a law get so little recognition for doing so much good so quickly.
-tainable fiscal course, while laying the foundation for a higher-quality, more efficient health care system. The Congressional Budget Office has es-timated that the Affordable Care Act will reduce the deficit by about $100 billion over the first de-cade and by more than $1 trillion in the second decade.