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Discover and read the best of Twitter Threads about #ACA

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⚠️ UPDATED: Across 23 states representing ~52% of the total individual market, avg. requested 2019 #ACA premiums are ~7.9% HIGHER *with* #ACASabotage vs. an estimated ~3.4% LOWER *without* #ACASabotage: acasignups.net/18/07/16/updat…
PUT ANOTHER WAY, so far, unsubsidized #ACA enrollees will be paying around $790 more *per enrollee* next year on avg. than they otherwise would be without #ACASabotage.
EXAMPLE: In New York, rates WOULD have gone up 12.1%, but due specifically to the GOP repealing the #ACA individual mandate & Trump killing restrictions on junk plans, they’re expected to increase ~24%.
Read 8 tweets
1. This idea that some #GOP have that the DT’s risky behavior is worth the risk because of the potential gains needs some tempering. In fact, the idea that DT would bring some flair for fortune-building from his business acumen was always dangerous.
2. For starters, there are few similarities between running a country and running a business and even fewer similarities between ‘business deals’ and global relations, foreign trade and the balance of power. And the latter issues, our POTUS barely comprehends.
3. #GOP leaders know this, but they’re still clinging to this monster of their own making. Let’s face it, 2 #SCOTUS seats, Ryan’s coveted #taxscam and busting up the #ACA is almost worth the destruction of the global economy, peaceful alliances, even their party, worth it.
Read 8 tweets
As expected, Trump has chosen an extremist for the Supreme Court who can & would undermine:

-Healthcare as a right, not a privilege
-Reproductive rights
-Voting rights
-Workers' rights
-Consumer rights
-A safe environment

For a generation. #Scotuspick #KavanaughSCOTUS 1/11
We need to call every one of our Senators. 202-224-3121, or with contactingcongress.org
NOW.

We need to support those who have come out against Kavanaugh & convince those that haven't that #Kavanaugh is the wrong choice. #NOKavanaugh

The following will tell you why. 2/11
A woman's right to choose is in jeopardy. A full repeal may or may not be attempted soon, but Roe v. Wade will be chipped away at.

Pro-choice GOP Sens. Susan Collins & Lisa Murkowski need to be reminded. Collins has been lied to before. #WhatsAtStake
3/11
thinkprogress.org/collins-murkow…
Read 11 tweets
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🚨 #BREAKING: @realDonaldTrump has nominated #BrettKavanaugh to the #SCOTUS seat vacated by Justice Anthony Kennedy. 👎🏾 #SaveSCOTUS #WhatsAtStake🚨
lambdalegal.org/blog/20180709_…
Judge #Kavanaugh has been on the Court of Appeals for the D.C. Circuit for over 10 years. He's a member of the Federalist Society. (@FedSoc) (yikes!)
Let's take a look at his record! 🧐 #WhatsAtStake #SaveSCOTUS
lambdalegal.org/blog/20180709_…
ICYMI: The Federalist Society is “a group of conservatives and libertarians dedicated to reforming the current legal order.” #SCOTUS nominee #BrettKavanaugh is a member. Fun!
Read 11 tweets
Coming back from the holiday and catching up on the news? Here are some of the biggest stories you may have missed!
Republicans are standing by while Trump sabotages health care markets and raises premiums AGAIN! #ACA #ProtectOurCare nytimes.com/2018/07/07/us/…
GOP candidate says something racist? Say NO to racism by voting for @PaulDavisKS!

"While CNN has rated the race to replace Jenkins as leaning Republican, Democrats have lined up behind former Kansas House Minority Leader Paul Davis to flip the district."
cnn.com/2018/07/07/pol…
Read 20 tweets
This is actually a war on currently HEALTHY people as well. If the carriers throw up their hands and bail completely, NO ONE will be able to enroll.
The Achilles heel of the #ACA exchange structure is that participation is VOLUNTARY on the part of the carriers. If every carrier in a given region/state decides that offering individual market plans is too risky for them (whether justified or not)...
...there’s not much which can be done unless you tie participation to MCO/MA contracts or whatever (which I support, but which isn’t the case in most states).
Read 4 tweets
WHOA. ⚠️⚠️⚠️ RED ALERT...this is wonky but big. @bjdickmayhew @wcsanders @rebeccastob
Short version: This is the sole remaining #ACA stabilization program. There were a couple of lawsuits by carriers claiming that the formula was wrong. Looks like the Trump Admin is considering freezing payments entirely in response, which is apparently unnecessary.
I’m not an expert on Risk Adjustment by any means, so my first tweet *may* have overstated the “red alert!” status, which is why I cc’d folks who know a lot more about it like @bjdickmayhew, @rebeccastob and @wcsanders.
Read 4 tweets
1/ DEAR DEMOCRATS: Based on 21 states so far, I’ve concluded that you’re *sort of* overplaying your hand re. 2019 #ACA premium hikes. Let me explain. acasignups.net/18/07/03/updat…
2/ The talking point being spread among Dems is that “#ACA premiums will spike by double digits due to #ACASabotage!” The image which comes to mind is of rates increasing by ~20-25% with sabotage vs. perhaps ~5-10% without it, costing unsubsidized enrollees up to $1,000 more.
3/ Now the first part *is* accurate: #ACASabotage *is* causing premiums to increase an extra ~12% or so. However, the *specifics* are shaping up to be a bit different than I expected:
Read 17 tweets
#SadStateOfUS

1. Last weekend, concerned citizens voiced for keeping families together.
DJT admin will no longer release # of kids separated.
Splitting families at the border continues.

2. We said ICE needs reform.
DJT called us radicals.

3. DJT is again trying to repeal #ACA
Meanwhile.. parents of kids grabbed ... a few who have been able to unite.. have had to shell $$..

Yep. #USA snatches kids and then asks for and takes #Ransom.

#TrumpFail #GOPfail
July 4th tomorrow. Our freedoms are shaky.

7/2: DJT admired that Netherlands has "KINGDOM" in its name.

Netherlands is a progressive democracy, with healthcare4all
A single payer basic healthcare coverage,
Short and long-term medical care for youth <18.

DJT is chopping #ACA.
Read 6 tweets
Marches don't do shit to solve the problems we face as a nation. Due to gerrymandering, Citizens United, NRA and cheating (Scotus, stolen election) we have no opportunity to hold our representatives accountable $ is their only constituent. #FamiliesBelongTogetherMarch
#Resisters stop hoping that either #Mueller or #midterm2018 will right the wrongs of this regime. Realize we must be prepared to simultaneously attack and employ different tactics to win. We have to think out-of-the-box and #justdoit as 1st #womensmarch #msdstrong @MomsDemand
It's time to take a cue from our global trading partners and those who boycotted NC due to HB2 (Bathroom Bill). I propose a nation-wide boycott of GOP states and/or districts until families reunited, #puertorico #flint #BLM #DACA, #ACA #SCOTUS globalnews.ca/news/4304951/c…
Read 12 tweets
Not-so-fun-fact: Every year Georgia doesn’t expand Medicaid, we miss out on $3 billion (billion, with a “B”) federal dollars meant to pay for Georgians' health coverage. That’s $8 million left on the table every day. Here's why that matters. 1/ gbpi.org/2018/georgia-r… #gapol
240k Georgians earn too much to qualify for Medicaid, but too little to receive subsidies available under the #ACA. They fall in a “coverage gap.”
Medicaid expansion would close that gap, providing health coverage to 473k more Georgians in '19. 2/ #gapol gbpi.org/2018/fast-fact…
But back to the $3 billion/year. The $8 million Georgia leaves on the table every single day could be used to keep our rural hospitals open, expand access to mental health care, and reduce our alarmingly high maternal and infant mortality rates. 3/ #gapol politics.myajc.com/news/state--re…
Read 6 tweets
I'm one of a few million Americans awake when we should be sleeping because of the pain of #cancer or some other chronic illness.

Adding to our sleeplessness is knowing #healthcare is under threat. We may not be able to afford it due to the #GOP's actions.

It's terrorizing.
My parents were Civil Rights workers. My father was a Freedom Rider. As a small child I was taught the legacy of #MLK.
I watched people invoking MLK on Monday. Not in defense of #votingrights or in outrage over how the #SCOTUS ruled on two pivotal cases on gerrymandering.
2/
MLK wasn't being invoked for #votingrights but for Sarah Huckabee Sanders, who lies to America every day about policies that could very well kill me & others.

Policies that are hurting millions.

Policies that have kept me a citizen without equal rights in my own country.
3/
Read 17 tweets
I have been battling a new health crisis since my surgery was postponed June 15.

There is no way to adequately articulate--even as a writer--the breadth of hardship inflicted on sick Americans by the Trump presidency & Trump-led #GOP, like lame-duck @SpeakerRyan.
#healthcare
1/
The @CDCgov cites 133M as the number of chronically-ill Americans who have #cancer, like I do, or another illness that impedes their daily lives.

The majority of that 40% of the US population still have to work despite often disabling illness because we cannot afford not to.
2/
I've been writing about #healthcare in America since I was a cub reporter and put on a small story in the mid-80s that turned into a much bigger story: #AIDS.

When you're in your 20s writing about other 20somethings dying, it changes you.

Then I got #breastcancer at 26.
3/
Read 19 tweets
⚠️ THREAD: According to the HHS Dept., appx. 130 MILLION non-elderly Americans have pre-existing conditions which would likely get them either denied coverage or charged so much for coverage they’d be effectively priced out of the market. 1/
Last year, @EmilyG_DC of @amprog broke these out by Congressional District: americanprogress.org/issues/healthc… 2/
I then took that data and recompiled it into individual states infographics: acasignups.net/17/05/14/cap-d… 3/
Read 65 tweets
THREAD: Snapshots of our broken Healthcare system. Without even approaching universal healthcare or medicare for all, these snapshots from personal life experience bring into stark relief WHY the U.S. Healthcare system is in a trash heap.\1
In December, I was hospitalized for a minor intestinal infection. During my evening, a staff doctor visited and told me she was shocked they hospitalized me. She said typically patients are just sent home with medication, but THIS hospital admitted 'everyone for everything' \ 2
During my 36 hours, they did everything they could to push every conceivable EXPENSIVE test on me. I had migraines, diagnosed 25 years ago, occasionally, so they wanted to run new MRIs and CT scans \ 3
Read 18 tweets
⚠️⚠️⚠️ THREAD: On the 1-year anniversary of the @HouseGOP passing the #AHCA (to repeal the #ACA), how many Americans would’ve lost their healthcare coverage in YOUR Congressional District?
1/ One year ago today, the @HouseGOP passed the #AHCA, which would have repealed the #ACA and replaced it with a plan which the CBO projected would cause 24 million people to lose healthcare coverage by 2026: cbo.gov/publication/52…
2/ The CBO didn’t break their 24 million projection out by State or Congressional District, but @EmilyG_DC of @amprog worked with @Cutler_econ to do just that. americanprogress.org/issues/healthc…
Read 68 tweets
#RudyGiuliani is up to no good. He's not suddenly senile. He's admitting to the Cohen repayment to preempt evidence in the Cohen files & he's admitting obstruction re Comey that Mueller was initially brought on to probe for an excuse to fire him if settled & the job is *done*.
WoW. I usually have to wait a lot longer for confirmation of my theories. @JoyAnnReid
Bet Trump already has a deal w/ Ryan & McConnell to allow toothless reprimand/censure from Congress -- as opposed to impeachment -- for his now-admitted obstruction of justice in firing @Comey. Huge move. HE'S GEARING UP TO FIRE #MUELLER, IMHO. @JoyAnnReid
Read 7 tweets
#MAGAFamily 🇺🇸WATCH NOW🔴LIVE: President Donald Trump holds GIGANTIC Rally in Washington, Michigan H/T @GST_Politics
"We support the heroes of law enforcement...We defend our flag and we honor our flag. And if others honored our flag they'd be much better off wouldn't they?"-@realDonaldTrump @POTUS Washington, Michigan H/T @GST_Politics
"and we stand for our National Anthem."-@realDonaldTrump @POTUS Washington, Michigan H/T @GST_Politics
Read 52 tweets
I tweeted earlier that @Carolynyjohnson's article in yesterday's @washingtonpost is the basis for a health policy course unto itself. Here's the syllabus, with references. cc @HankGreelyLSJU washingtonpost.com/graphics/2018/… /1
We are blessed to have amazing drugs and other therapies for many awful conditions. /2
Poverty and inequality form the context for every aspect of health policy in America. /3
Read 30 tweets
More hospital for me, today.
The rest of you, remember to breathe and keep the toxic at bay.
And take in some beauty.

The tulips and daffodils are in bloom!
Thanks so much to all the lovely, kind people wishing me well. Your support is so vital.

It was a harrowing day. #Cancer is a slog, but I am managing (except for some trolls who have sad lives).

I remain grateful for all of you, for great docs, for my fab fam.

Thank you. 💜🌿
Filing columns from hospital beds is exhausting.
Once, when I was at @PhillyDailyNews, before email was a thing, I wrote my copy long-hand from the ICU. That story, about the ICU, was later nom'd for Pulitzer, but all I remember was thinking those might be my last written words.
Read 14 tweets
BREAKING: Trump's radical leaked “public charge” reg that will separate families, discriminate against ppl w/disabilities & effectively deny healthcare & other basics to legal immigrants & citizen kids just moved to OMB, meaning could be dropped soon reginfo.gov/public/do/eoDe… 1/
What is “public charge?” It’s an arcane immigration provision, designed to exclude immigrants who would be primarily dependent on govt for subsistence. Traditionally that's meant that they rely on cash assistance for subsistence or receive Medicaid for long-term care. 2/
The draft executive order would radically redefine “public charge” in three ways that would mean millions of legal immigrants and US citizens would be affected. 3/
Read 24 tweets
On the 8th Anniversary of #ACA it's crucial to demonstrate how our President has undermined healthcare for MILLIONS via #ACASabotage since his inauguration.

This THREAD is dedicated to everyone who used their voice to save healthcare & why we all must be a #HealthCareVoter 1/30
1/20/17: Trump's #ACA Executive Order directs federal agencies begin ❌ ACA “to maximum extent permitted by law.”

EO delays ACA provisions imposing tax, fee, or other costs & develops “free & open market” in health care among states.

Repeal legislation begins. #ACASabotage 2/30
1/26/17: Administration stops planned ads for the final week of open enrollment for marketplace health coverage. As a result, 400K+ are not enrolled.

Final 2017 HealthCare.gov plan selections come in below 2016. #ACASabotage 3/30
Read 30 tweets
After six hearings and over 30 hours of testimony, the Assembly Select Committee on Health Care Delivery Systems and Universal Coverage has released its report and recommendations for paths forward: healthcare.assembly.ca.gov/sites/healthca…
Here are some of the select committee's findings:

Despite four million Californians gaining health coverage thanks to the #ACA, three million residents remain uninsured.
California’s lowest-earning families are the most likely to struggle from having inconsistent sources of health care.
Read 6 tweets
The funny thing about this @Heritage analysis bashing the #ACA is that I agree 100% with everything I’ve quoted here. Yes, #ACA regulations like denying pre-existing condition discrimination, requiring EHBs & so on DID cause most of the rate hikes… 1/
…which is why tax credits need to be beefed up to cover the bulk of the increase. Alternately, we could impose price controls on doctors, hospitals, drug cos, device makers etc. Take your pick. What ISN’T an option anymore is “keeping costs down” by kicking the sick to the curb.
If you want to *significantly* cut down on how much *patients* pay for healthcare (beyond nibbling around the edges via “increased efficiency’ & the like), there’s really only 3 ways to do it:
—Throw the sick under the bus
—Reduce how much providers receive
—Increase tax funding
Read 10 tweets
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