The heated national debate on complex issues related to costs of health care was ignited by the implementation the Affordable Health Care Act (ACA) in January 2014. There is no national system that adequately records and quantifies the wide range of issues related to health care costs, so the arguments have been based primarily on undocumented opinion.
As always, anecdotal reports related to health issues get the most attention. Since such reports are most often at best unreliable and at worst misleading, accepting them as fact adds to the combative unproductive nature of the public debate. As a result, academic economist estimates of the future costs under the ACA have varied from large increases to considerable reductions.