🚨 Holy Smokes.
Let me repeat that: 4.2 MILLION currently uninsured Americans could get #ACA-compliant healthcare policies FOR FREE.

(yes, they'd have high deductibles, but they'd include FREE preventative services, such as, blood/drug screenings, mammograms, vaccinations, etc)
THREAD: Here's the full list of FREE preventative services (regardless of deductible) included with every #ACA marketplace policy (as long as it's done in-network): 1/

healthcare.gov/coverage/preve…
--Abdominal aortic aneurysm screening
--Alcohol misuse screening and counseling
--Aspirin use to prevent cardiovascular disease and colorectal cancer =
--Blood pressure screening
--Cholesterol screening
--Colorectal cancer screening for adults 50 to 75
--Depression screening
2/
--Diabetes (Type 2) screening
--Diet counseling for adults at higher risk
--Falls prevention for adults 65 years+
--Hepatitis B screening for people at high risk
--Hepatitis C screening for adults at increased risk
--HIV screening for everyone ages 15 to 65
3/
--Immunization vaccines for Diphtheria, Hepatitis A, Hepatitis B, Herpes Zoster, Human Papillomavirus (HPV), Influenza (flu shot), Measles, Meningococcal, Mumps, Pertussis, Pneumococcal, Rubella, Tetanus, Varicella (Chickenpox)
--Lung cancer screening for adults 55-80
4/
--Obesity screening and counseling
--Sexually transmitted infection (STI) prevention counseling
--Statin preventive medication for adults 40 to 75 at high risk
--Syphilis screening for adults at higher risk
--Tobacco use screening for all adults
5/
--Tuberculosis screening for certain adults

For pregnant women:
--Anemia screening on a routine basis
--Breastfeeding comprehensive support and counseling
--Contraception: Food and Drug Administration-approved contraceptive methods
6/
--Folic acid supplements for women who may become pregnant
--Gestational diabetes screening for women 24 to 28 weeks pregnant
--Gonorrhea screening for all women at higher risk
--Hepatitis B screening for pregnant women at their first prenatal visit
7/
--Preeclampsia prevention/screening and screening for pregnant women
--Rh incompatibility screening for all pregnant women
--Syphilis screening
--Expanded tobacco intervention and counseling for pregnant tobacco users
--Urinary tract or other infection screening
8/
--Breast cancer genetic test counseling (BRCA) for women at higher risk
--Breast cancer mammography screenings every 1 to 2 years for women over 40
--Breast cancer chemoprevention counseling for women at higher risk
--Cervical cancer screening
9/
--Pap test (also called a Pap smear) every 3 years for women 21 to 65
--Human Papillomavirus (HPV) DNA test with the combination of a Pap smear every 5 years for women 30 to 65 who don’t want a Pap smear every 3 years
--Chlamydia infection screening for younger women
10/
--Diabetes screening for women with a history of gestational diabetes
--Domestic and interpersonal violence screening and counseling for all women
--Gonorrhea screening for all women at higher risk
--HIV screening and counseling for sexually active women
11/
--Osteoporosis screening for women over age 60 depending on risk factors
--Rh incompatibility screening follow-up testing for women at higher risk
--Sexually transmitted infections counseling for sexually active women
--Syphilis screening for women at increased risk
12/
--Tobacco use screening and interventions
--Urinary incontinence screening for women yearly
--Well-woman visits to get recommended services for women under 65
13/
For Children specifically:
--Alcohol, tobacco, and drug use assessments for adolescents
--Autism screening for children at 18 and 24 mo months
--Behavioral assessments for children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
14/
--Bilirubin concentration screening for newborns
--Blood pressure screening for children ages: 0 to 11 months, 1 to 4 years , 5 to 10 years, 11 to 14 years, 15 to 17 years
--Blood screening for newborns
--Cervical dysplasia screening for sexually active females
15/
--Depression screening for adolescents beginning routinely at age 12
--Developmental screening for children under age 3
--Dyslipidemia screening for all children once between 9 and 11 years and once between 17 and 21 years
--Fluoride chemoprevention supplements for children
16/
--Fluoride varnish for all infants and children as soon as teeth are present
--Gonorrhea preventive medication for the eyes of all newborns
--Hearing screening for all newborns; and for children once between 11 and 14 years
17/
--Height, weight and body mass index (BMI) measurements for children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
--Hematocrit or hemoglobin screening for all children
--Hemoglobinopathies or sickle cell screening for newborns
18/
--Hepatitis B screening for adolescents at high risk, including adolescents from countries with 2% or more Hepatitis B prevalence
--HIV screening for adolescents at higher risk
--Hypothyroidism screening for newborns
19/
--Immunization vaccines for children from birth to age 18: Diphtheria, Tetanus, Pertussis (Whooping Cough), Haemophilus influenza type b, Hepatitis A, Hepatitis B, HPV, Inactivated Poliovirus, Influenza , Measles, Meningococcal, Pneumococcal, Rotavirus, Varicella (Chickenpox)
20/
--Iron supplements for children ages 6 to 12 months at risk for anemia
--Lead screening for children at risk of exposure
--Maternal depression screening for mothers of infants at 1, 2, 4, and 6-month visits
21/
--Medical history for all children throughout development ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years
--Obesity screening and counseling
--Oral health risk assessment for young children ages: 0 to 11 months, 1 to 4 years, 5 to 10 years
22/
--Phenylketonuria (PKU) screening for newborns
--Sexually transmitted infection (STI) prevention counseling and screening for adolescents at higher risk
--Tuberculin testing for children at higher risk of tuberculosis
23/
I REPEAT: *EVERYTHING* ON THIS LIST COULD BE *100% FREE* FOR UP TO 4.2 MILLION CURRENTLY-UNINSURED AMERICANS.
Even a high deductible would NOT apply for ANY of these services as long as they're done by an in-network provider.
#GetCovered at HealthCare.Gov today!
/END

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More from @charles_gaba

Feb 21
📣⚠️ NEW: As I've been expecting for over a month and as I hinted at last week, the Red/Blue COVID death rate divide, which had been significantly reduced during the #Omicron wave, has started moving back up again:
acasignups.net/22/02/21/weekl…
There was one point in late September when the daily COVID death rate in the reddest decile of the U.S. was running nearly NINE TIMES HIGHER than in the bluest decile.

The gap between the extremes shrank down to almost nothing by late January...but is moving back up again now.
No idea how long this upswing will last & I doubt it will ever reach the extremes of the Delta wave...but the reason is pretty clear: Omicron, like prior variants, hit the most densely populated urban (blue) areas hard first, but is now spreading out into the rural (red) areas.
Read 4 tweets
Feb 21
📣 WEEKLY UPDATE: County-level COVID vaccination rates by 2020 partisan lean:
acasignups.net/22/02/21/weekl…
⚠️ AMERICA IN ONE IMAGE, updated thru today: Image
--There's now 13 U.S. counties w/694K residents where over 90% of their total populations have received their 2nd shot.

--There's 50 counties w/16.5M residents where over 80% have gotten a 2nd shot.

--There's 204 counties w/79.5M residents where over 70% have gotten a 2nd shot.
Read 6 tweets
Feb 20
Well, for starters, this is comparing the entire state of Florida (including the vast rural counties) against the CITY of New York (one of the most densely-populated areas of the country).
At a MINIMUM you’d have to compare the STATE of NY (roughly 20M) vs the STATE of Florida. Also, I don’t think he wants me to compare the states from last September, for instance.
Here's NYC *plus* the rest of NY STATE (they're listed separately).

Jan 2021: 6,293 deaths
Jan 2022: 5,506 deaths
= 12.5% *fewer* deaths statewide in NY in Jan 2022 vs. Jan 2021.

A smaller drop than FL's 33.5% drop, sure...but a hell of a lot different from a 32% *increase*.
Read 8 tweets
Feb 19
Been feeling kind of crappy the past few days so I decided to go ahead and use one of the 4 at-home COVID tests we received via USPS. My wife, kid & I are all vaxxed/boosted but you never know these days...

Will have the results in another 8 minutes or so.
Re. the test itself, for those who haven't used an at-home one yet: It's not too bad/complicated, but the nasal swab part is much worse than a PCR test--instead of 1 nostril for 5 seconds, you have to swab *both* nostrils for *15* seconds each.

Much sneezing resulted.
Annnnd…it’s negative.
Which means either a) I don’t have COVID, b) I did something wrong, or c) it’s a false negative. Image
Read 5 tweets
Feb 8
📣 (warning: long thread w/50+ graphics)

It's been another 3 months, so I figured it's a good time to again break out COVID county-level, 2-dose, total population vaccination rates for all 50 states.

Again, I use CDC data for most states, w/state health dept. data for a few. 1/
ALABAMA: Fairly weak partisan correlation, mainly because the vaccination rate sucks pretty much EVERYWHERE. It does form an odd snake shape, though.

The graph on the right (w/out background graphics/etc) includes children 5-11 only.
ALASKA: AK has always been all over the place on COVID vaccination rates. Bristol Bay has supposedly vaxxed *over* 100% of its population which is impossible; this is caused by a variety of factors including error margin etc. I've set a max cap of 98% for any county's vaxx rate.
Read 51 tweets
Feb 7
@RachelBitecofer Well, I haven't looked at 5-11 specifically, but it's pretty clear here. Notice how *both* the R^2 (correlation) *and* slope stopped climbing/leveled off around September, stayed flat for 2 months, and then started climbing again right after Thanksgiving?
@RachelBitecofer Guess what happened right around Thanksgiving?

Hypothesis: For the most part, mostly-Dem vaxxed parents vaxxed their kids; mostly-GOP unvaxxed parents refused to vaxx their kids.
Read 5 tweets

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