Archived for the record of the Affordable Care Act during Mr. Obama’s presidency. During Obama’s tenure, the percent uninsured was reduced by about 44%. Although health reform plans called for a slowing in the rate of GROWTH of annual healthcare spending. it contrasted with the bold campaign promise of actually lowering spending. A 2008 Campaign quote: “Under the plan, if you like your current health insurance, nothing changes, except your costs will go down by as much as $2,500 per year. If you don’t have health insurance, you will have a choice of new, affordable health insurance options.” Those who experienced cost reductions likely were getting income-related federal subsidies.