“At first glance, it would seem that this graph vindicates the ACA – come 2021, the difference in growth rates between NHE pre-and-post ACA have fallen to less than a percentage point. What they gloss over, however, is the massive spike in growth rates starting in 2014, when the ACA’s coverage provisions go into effect. This adds to the absolute cost of the ACA over time, even though the growth rate slows down eventually, based on projections.”