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

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

According to Census data, it's the first time since 2009that the uninsured rate has increased. The percentage of Americanswithout insurance plummeted in the years following theimplementation of the Affordable Care Act in 2013.

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