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Under the affordable care act the individual mandate

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Answer: requires all americans to purchase health insurance

Step-by-step explanation:

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User Staterium
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The individual mandate guarantees that insurance companies would not be altering their rates based on the current health of those who apply for insurance. Without this mandate, insurance companies raised rates for unhealthy people because there was a lack of healthy people paying for their own insurance so it would lead to only harming those who are sick.
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User Sachin Mishra
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