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sad piggy bank Among US adults with insurance, 28 percent were underinsured in 2018–up from 23 percent in 2014. (Photo: Shutterstock)

Since the passage of the Affordable Care Act (ACA) uninsurance among Americans has dropped 8 percent—but a new problem, “underinsurance,” has risen at the same time, creating a significant group of insured Americans who struggle with health care costs.

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