@charlesgaba.com at Bluesky now Profile picture
Healthcare data analysis & snark 🦋 https://t.co/ouYwTXWvCw 🕸️ https://t.co/xI1jy7cXIV

Sep 23, 2020, 6 tweets

Excellent. The only quibble I have is this: “Overnight, if the Affordable Care Act is eliminated, we will return to the health care system of 2010.”

It’d actually be far worse.

Pre-ACA, there were various state/local programs set up which tried to mitigate at least some of the suffering of those without coverage. Many of those programs are gone, rendered unnecessary by the ACA. They couldn’t be simply dusted off and reinstated at the drop of a hat.

Even if the funding for those programs was reinstated (in the middle of a major recession w/states already cash-strapped?), there’s all sorts of logistical challenges which would take time to ramp back up again.

Plus, some states, as @korb_heather noted and I’ve noted before, have already passed laws replicated #ACA protections to defend against Trump’s other sabotage. While I’m glad they’ve done so, the fact remains that ACA protections without ACA funding is a recipe for disaster.

Plus, while there’s a law preventing insurance companies from using your genetic data to price premiums, it has major holes in it...and I don’t believe there’s any law BESIDES the ACA preventing them from basing premiums on social media data mining.
acasignups.net/18/06/12/good-…

Since 2010, not only has genetic info exploded, so has social media data mining. Without the ACA, every Instagram photo of your dinner or Facebook post about the time you went white-water rafting could be fair game for insurance carriers to deny coverage or jack up the price.

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