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chameleon-chan:I just stumbled upon my favourite gif in...

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chameleon-chan:

I just stumbled upon my favourite gif in existence.

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angelchrys
17 hours ago
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Overland Park, KS
glenn
18 hours ago
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Waterloo, Canada
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fxer
18 hours ago
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Love that Schmedium Satin Surgical Short Sleeve
Bend, Oregon

“Life is a preexisting condition waiting to happen”

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I posted earlier about Atul Gawande’s piece in the New Yorker on the importance of incremental care in medicine. One of the things that the Affordable Care Act1 did was to make it illegal for insurance companies to deny coverage to people with “preexisting conditions”, which makes it difficult for those people to receive the type of incremental care Gawande touts. And who has these preexisting conditions? An estimated 27% of US adults under 65, including Gawande’s own son:

In the next few months, the worry is whether Walker and others like him will be able to have health-care coverage of any kind. His heart condition makes him, essentially, uninsurable. Until he’s twenty-six, he can stay on our family policy. But after that? In the work he’s done in his field, he’s had the status of a freelancer. Without the Affordable Care Act’s protections requiring all insurers to provide coverage to people regardless of their health history and at the same price as others their age, he’d be unable to find health insurance. Republican replacement plans threaten to weaken or drop these requirements, and leave no meaningful solution for people like him. And data indicate that twenty-seven per cent of adults under sixty-five are like him, with past health conditions that make them uninsurable without the protections.

That’s 52 million people, potentially ineligible for health insurance. And that’s not counting children. Spurred on by Gawande, people have been sharing their preexisting conditions stories on Twitter with the hashtag #the27Percent.

The 27% figure comes from a recent analysis by the Kaiser Family Foundation:

A new Kaiser Family Foundation analysis finds that 52 million adults under 65 — or 27 percent of that population — have pre-existing health conditions that would likely make them uninsurable if they applied for health coverage under medical underwriting practices that existed in most states before insurance regulation changes made by the Affordable Care Act.

In eleven states, at least three in ten non-elderly adults would have a declinable condition, according to the analysis: West Virginia (36%), Mississippi (34%), Kentucky (33%), Alabama (33%), Arkansas (32%), Tennessee (32%), Oklahoma (31%), Louisiana (30%), Missouri (30%), Indiana (30%) and Kansas (30%).

36% uninsurable in West Virginia! You’ll note that all 11 of those states voted for Trump in the recent election and in West Virginia, Trump carried the day with 68.7% of the vote, the highest percentage of any state. The states whose people need the ACA’s protection the most voted most heavily against their own interest.

Update: An earlier version of this post unfairly pinned the entire blame for the lack of coverage of those with preexisting conditions on the insurance companies.2 I removed the last paragraph because it was more or less completely wrong. Except for the part where I said we should be pissed at the Republican dickheads in Congress who want to repeal the ACA without replacing it with something better.3 And the part where we should be outraged. And the part where we regulated cars and cigarettes and food to make them safer, forced companies to build products in ways they didn’t want, and saved millions of lives. We can’t make everyone healthier and raise taxes to do it? Pathetic for what is supposedly the world’s most powerful and wealthy nation. (thx @JPVMan + many others)

  1. I hope, for the love of Pete, that everyone reading this site is aware that the Affordable Care Act (the ACA) is Obamacare. Obamacare is the derogatory name the Republicans gave to the ACA that everyone, including Obama himself, ended up using. Which is unfortunate. President Obama and his administration deserve neither all of the credit nor should shoulder all of the blame for the ACA.

    I would also like to add that I, as a (very) small business owner, rely on the protections afforded by the ACA to get insurance coverage for me and my family. Something to keep in mind if you otherwise don’t know anyone who would be affected by the ACA’s repeal. (Of course, the cushy insurance policy you get through work might be affected as well, you never know.)

  2. At the heart of the ACA is a compromise between the US government and the insurance companies. The insurance companies don’t want to sell people insurance only when people are sick…that would be prohibitively expensive. That’s where the preexisting conditions thing comes in. So, the ACA says, ok, you have to sell insurance to people with preexisting conditions and we’ll make sure that everyone has to buy insurance, whether they’re sick or not. That bargain makes sure more people are covered and gives the insurance companies a larger pool of people to draw premiums from.

    You can see why Republicans don’t like it: it forces people to buy something even if they don’t want to and it forces companies to sell things to people they would rather not sell. And as a bonus, people the Republicans don’t give a shit about — women, the poor, people of color — are disproportionately helped by the ACA. So they’ll repeal it and replace it with magic! And the only cost will be an increase in dead Americans.

  3. I am all for this, BTW. If Paul Ryan and Donald Trump come up with a plan to give better and cheaper healthcare coverage to everyone in America, let’s do it.

Tags: 2016 election   Atul Gawande   Donald Trump   healthcare   medicine   politics
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angelchrys
17 hours ago
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Overland Park, KS
acdha
19 hours ago
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Washington, DC
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halfagony-halfhope: Darcy: *confesses his love to Elizabeth* Elizabeth:

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halfagony-halfhope:

Darcy: *confesses his love to Elizabeth*

Elizabeth: 

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angelchrys
21 hours ago
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Overland Park, KS
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An Ugly History of Rob Schneider's Racist and Stereotyped Characters

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It’s not even Inauguration Day yet and white dudes are already ruining everything. On Monday, Rob Schneider, you know, the guy from all the Adam Sandler movies, decided he would be the ideal person to explain Martin Luther King Jr.’s Civil Rights achievements to a legendary Civil Rights hero. Oh, and to make it even worse, this happened on MLK day.

Continue reading…

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wreichard
21 hours ago
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Earth
angelchrys
22 hours ago
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Overland Park, KS
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BREAKING: Obama commutes sentence of trans whistleblower Chelsea Manning

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President Obama has commuted the sentence of transgender whistleblower Chelsea Manning in one of his final acts as President.
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wreichard
21 hours ago
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Earth
angelchrys
22 hours ago
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Overland Park, KS
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President Obama has commuted Chelsea Manning’s sentence

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President Obama has commuted Chelsea Manning’s sentence, according to a report from the New York Times. Manning is set to be released from federal custody on May 17th.

While serving as an intelligence analyst in Iraq, Manning leaked more than 700,000 documents to Wikileaks, including video of a 2007 airstrike in Baghdad that killed two Reuters employees. In 2013, Manning was sentenced to 35 years in prison for her role in the leak and has been held at the US Disciplinary Barracks at Fort Leavenworth for the past three years.

Julian Assange, who has long been sought by US and EU authorities for extradition on Swedish rape charges, had previously pledged to surrender himself to US authorities if Manning was pardoned.

Born Bradley Manning, Chelsea announced her gender transition the day after the verdict was handed down. “I am Chelsea Manning. I am a female,” she said in a statement. “Given the way that I feel, and have felt since childhood, I want to begin hormone therapy as soon as possible.” Obtaining the resulting medical treatments was extremely difficult for Manning, and was the subject of significant and sustained activism. After a lawsuit, Manning was approved for hormone therapy in 2015. In September 2016, she launched a hunger strike, demanding access to gender reassignment surgery; the military complied five days later.

A number of groups have also called on President Obama to pardon Edward Snowden, who is currently living in Russia on threat of US espionage charges. Thus far, the President has declined to do so, citing the absence of an active court hearing on Snowden’s charges. “I can't pardon somebody who hasn't gone before a court and presented themselves,” Obama told Der Spiegel in November.

Developing...

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angelchrys
22 hours ago
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Overland Park, KS
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