As the incoming president and Congress call for a radical change of course in health care policy, a new study from the National Health Interview Survey (NHIS) shows families are having less trouble affording health services than in previous years.

According to the survey, which stretches from 2011 to June 2016, the percentage of people under 65 living in families and struggling to pay medical fees has dropped from 21.3 percent (56.6 million) to 16.2 percent (43.8 million).

The dramatic decrease can be attributed to the Affordable Care Act and a much-improved economy. The number of uninsured Americans has fallen from 46.3 million in 2011 to 28.4 million this past June. In the same period, unemployment has gone from 9.1 percent to 4.9 percent.

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