Proponents of the health reform law that became known as the Affordable Care Act (ACA) often argued that thousands of Americans were dying every year because of a lack of health insurance, and passing the proposed law would save thousands of lives every year. Opponents disputed those claims, and suggested that the law would not save lives, and would instead make people worse off and might even cost lives.

Now, new data from the Centers for Disease Control and Prevention shows that a U.S. life expectancy dropped in 2015 – a year after the major provisions of the ACA went into effect – and for the first time since 1993, when according to NPR, the drop was attributed to the AIDS epidemic, a flu outbreak, and an spike in homicide rates. While the relationship between health insurance and mortality might still be debated – and it is certainly too early to suggest, as NPR’s analysis implies, that the ACA is as bad as the AIDS epidemic – one thing is clear: There is no evidence that the ACA is, on net, saving lives.

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