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GAO sign GAO investigations have informed lawmakers that, between 2015 and 2017, the state of competition in the ACA exchange system individual market grew weaker. (Photo: Thinkstock)

The Affordable Care Act and federal regulators tried to give the ACA public exchange system a dominant position in individual major medical major medical insurance distribution.

But, as of 2016 — the third year of the ACA public exchange system’s operation — the exchange plan system accounted for only 57 percent of U.S. individual major medical enrollment, according to new data from the U.S. Government Accountability Office (GAO).

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