The cost of care in America’s health care market is continuing to increase, with new enrollees seeing their premiums rise by up to 10% on average for the third time in four years, according to a new survey from the Kaiser Family Foundation.

The Kaiser survey, which found a third of consumers have seen their premiums increase in the past year, is the first such report from the health insurance industry to analyze the effects of the ACA’s health insurance exchanges, which have been under attack from the left and right.

In 2017, Kaiser found that 6% of all enrollees in the private market had seen their monthly premiums rise, which is higher than the previous survey of 7% in 2016.

That’s up from 6% in 2017 and 6% a year earlier.

More than half of all private-sector enrollees saw their premiums jump in the year after the ACA passed.

But only 28% of the Kaiser survey’s respondents were paying the full cost of the premiums in 2017, which was lower than the average of 28% a decade earlier.

That’s in part because of the fact that premiums for a large majority of people in the individual market are paid directly by insurers, Kaiser said.

Those people are not eligible for a subsidy to help them pay their premium, which has driven up the premium costs of many other health plans.

That has made insurers wary of participating in the ACA exchanges, Kaiser reported.

Insurers are also worried about the ACA, and the Republican-led Congress, is working to repeal it, said Kaiser’s Dr. David Cutler.

The new survey found that almost two-thirds of consumers, or 67%, believe that the ACA is going to be repealed, compared with about half of the respondents who didn’t think the ACA was going to come up for a vote.

The new survey also found that a majority of Americans, 57%, say they don’t have enough money to pay for a new plan.

This is up from 55% in 2018 and 52% a few years ago.

The Kaiser survey found nearly half (48%) of respondents who said they didn’t have money to cover a new health plan were concerned about their ability to pay a premium, and half (50%) were concerned their coverage would be limited.