By RICHARD A. STELTER | NEW YORK CITY — A new report from the National Bureau of Economic Research found that in New York City, the costs of health care have been spiraling out of control for decades.

The findings from the report, released Monday, were a stark reminder that the health care reform law, signed in 2010, has had a devastating impact on health care in the city.

The report, titled “NYC: The Costs of Healthcare,” found that for every dollar spent on health insurance in New Jersey and New York, the average person spends $1,800 less in the state than they would have if the law had not been in place.

The cost of caring for a single person in New Yorkers in the Bronx and Brooklyn would be nearly $10,000 more if the Affordable Care Act had not taken effect.

The costs of care in New England have also been spiralling out of proportion.

For every dollar that people spend on health benefits, they lose $1.35.

That’s a 20 percent drop in the national average, according to the report.

Health care spending in New Hampshire, Vermont, New York and Maine also dropped in the years after the Affordable Act took effect.

But the study, which analyzes health care spending by geographic area, showed that the average costs in each state were still far above the national averages.

New Jersey’s average cost was $12,723, but in Massachusetts, New Hampshire’s was $15,564.

The same goes for New York’s average: $14,664.

The New York state budget was supposed to keep pace with rising health care costs by focusing on the poorest, and the report found that, despite spending more money on those with health problems, it actually didn’t keep pace.

The average New York cost for a family of four with a family physician was $22,638.

But in the other states, the cost was nearly $35,000.

The study also found that the costs have been going up steadily, even in the best-funded states.

The New York budget for 2016-17 was projected to be about $3,000 higher than the national level, according, but the report projects the budget to be $10.7 million lower.

The authors of the report note that the report is a preliminary estimate and that other factors could affect costs.

The report did not take into account the impact of inflation or the effect of the cost-sharing reduction payments that were meant to help pay for the law’s cost-of-living increases.

The National Bureau also found more than two-thirds of New Yorkers don’t have health insurance at all.

About a quarter of New York residents don’t even have a single provider.

The study found that about a third of the people with the highest cost-to-income ratio live in New Orleans.

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