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Trumpcare The most obvious explanation for the reversal in fortune are the efforts taken by President Trump and Republicans in Congress to undermine the ACA. (Photo: Shutterstock)

Despite a strong economy and tight labor market, the uninsured rate increased in 2018, moving up from 7.9 percent to 8.5 percent. The percentage of children without insurance also rose, from 4.9 percent to 5.5 percent.

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