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Furthermore, while the cost of insurance premiums and plans have assuredly risen post-ACA, health insurance premiums have been increasing due to rising health care costs for many years (prior to the act's enactment) [http://obamacarefacts.com/obamacare-small-business/] [http://jhppl.dukejournals.org/content/36/3/539.short].
 
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=='''The PPACA ACA and Small Business'''==
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