Even with federal government subsidies under the Affordable Care Act, a typical American buying coverage on public exchanges spends about one in 10 dollars they earn “on insurance premiums and out-of-pocket costs,” according to a new analysis.

Research from the Urban Institute shows typical single enrollees with incomes between $23,540 and $58,850 spend 10% of their incomes on premiums and out-of-pocket costs and the percentage rises if the enrollee has more medical needs. The Institute, which is funded by the Robert Wood Johnson Foundation, said the income figures are 200% and 500% of the federal poverty level, which is $11,770.

Read the article “Obamacare Patients Spend 10% of Income Out of Pocket Despite Government Subsidies” on forbes.com.