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That central Obamacare promise, like its closest cousins, have been downgraded and revised to death. Last year, scholars at the Manhattan Institute ran a 49-state analysis of individual market healthcare rates under Obamacare and found a 41 percent increase on average. Their follow-up study of more than 3,100 counties across the country pegs the average hike at 49 percent. Consumers in New York — home to a distorted, “death spiral”-plagued individual market prior to Obamacare — are among the few Americans who've enjoyed an average rate drop. Virtually everywhere else, price tags went in the wrong direction.