A new survey by Gallup finds that 15.5 percent of U.S. adults report having had trouble covering their health care costs in the past 12 months, the lowest rate since Gallup began tracking the issue in 2008.

The percentage reporting trouble with health costs began to decline in 2013 and has continued its downward trend since.

While there are a number of factors that influence one’s ability to pay for health care, including general economic conditions, there is a good chance that the Patient Protection and Affordable Care Act (ACA), implemented at the beginning of 2014, has boosted the number of people who can afford health care.

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