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Critics of the Affordable Care Act (ACA) argue that it led to increased health insurance premiums and out-of-pocket costs for some individuals and businesses. They contend that the law's mandates and regulations can impose burdensome requirements on small businesses, potentially stifling job growth. Additionally, opponents express concerns about the expansion of government involvement in healthcare, fearing it may lead to reduced quality of care and longer wait times for services. Lastly, some argue that the ACA did not adequately address the underlying issues of healthcare costs in the U.S. system.

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