Five years after President Obama signed the Affordable Care Act, the White House claims the law is working even better than imagined, but one of its leading critics says every major promise is now proven untrue and costs will keep going higher and higher unless we change course.

On March 23, 2010, President Obama signed the landmark Patient Protection and Affordable Care Act, also known as Obamacare, into law. It happened after a fierce debate on the House floor just a few days earlier and a controversial move by Senate Democratic leaders to pass changes by a simple majority since they did not have the votes to do it through regular order.

The law took full effect in 2014, following a disastrous roll-out of the federal health-care exchange website in October 2013. But for those who warned against the law before its passage, the contents of the law are far more troubling than the major technical problems that bogged down the exchange.

“People have learned on a very personal level how they were lied to in the passage of this law. They’ve lost their doctor. They’ve lost their health plan. Their costs are going up. Many people have lost jobs and certainly hours as a result of it. Small businesses have felt a huge impact, said Galen Institute President Grace-Marie Turner. “It’s been a tremendous drain on the economy, and very few if any of those original promises were met.”

Turner is a longtime veteran of Washington health-care policy debates. She was at the forefront of the effort to stop the Clinton administration’s attempt to overhaul the health-care system in 1993 and is still fighting to roll back Obamacare.

She was in the House chamber in March 2010 during the final, intense moments of the debate.