The New York Times took a long look Sunday at the double-digit premium increases that have persisted under the Affordable Care Act. It’s a good story and good moment to look back at how health insurance premiums have changed, what role the Affordable Care Act has played and what happens moving forward.

1. The average American family pays $15,022 a year in health insurance premiums. There is a fair amount of variation by state though, which you can see in this chart from the Commonwealth Fund.

That same Commonwealth Fund report finds that 80 percent of Americans now live in states where health insurance premiums equaled 20 percent or more of average income. All states’ average premiums now work out to at least 14 percent of average household income.

2. Insurance premium growth has wiped out the last decade of wage growth. Overall, that middle-income family saw its income go up by $23,000, from $76,000 in 1999 to $99,000 in 2009 – not too bad. But rising health-care costs in the form of increased insurance premiums and co-pays, ate up nearly all of that. Factor in that spending, as a recent Health Affairs article did, and the average family only had $95 […]

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