Juana Rivera, left, speaks with agent Fabrizzio Russi about buying insurance through the Affordable Care Act in Miami on Dec. 15, 2014.

The number of people who have trouble paying their medical bills has plummeted in the last five years as more people have gained health insurance through the Affordable Care Act and gotten jobs as the economy has improved.
A report from the National Center for Health Statistics released Wednesday shows that the number of people whose families are struggling to pay medical bills fell by 22 percent, or 13 million people, in the last five years.
And that’s good news, according to consumer and health policy advocates.
“The effect on families is profound,” says Lynn Quincy, director of the Healthcare Value Hub at the Consumers Union. “Health care costs are a top financial concern for families, far above other financial concerns.”
Quincy says the number one determinant of whether people can pay medical bills is whether they have insurance.
“The fact that this report shows it’s getting easier, it seems like we should lay …