⚠️ Guess what, everyone? That's right: It's Yet Another U.S. Supreme Court Opinion Issuance Day!

Come back starting at 10:00am to see whether they decide to tear away healthcare coverage for up to 34 million Americans based on the most absurdly stupid case imaginable!
There's around ~20 cases left for SCOTUS to issue opinions on this term including the #ACA case...which still might be bumped until later this month (I believe the term ends on June 30th).

They wait 10 minutes between each opinion being released, so it could be a long morning...
Once again, there's basically 4 possible ways the SCOTUS could rule on the #ACA case. Two of them would be fine. One would be pretty awful. One would be absolute disaster.
acasignups.net/21/06/17/here-…
Scenario 1: They throw the whole case out. This is what SHOULD happen.

Scenario 2: They strike down the individual mandate language but that's it...the rest of the law is left intact. This is the most likely scenario. Irritating since it's such a stupid case but otherwise fine.
Scenario 3: They strike down the mandate language *and* the ACA provisions *directly related to it*, most likely protections for pre-existing conditions (guaranteed issue, community rating, essential health benefits)...but leave the rest of the law in place.
Scenario 3 would be awful for anyone w/a pre-existing condition (~54 - 130 million Americans depending on your definition), which includes anyone who's ever tested positive for COVID, by the way.

It would also create a logistical nightmare for the insurance industry.
Scenario 4 would be the nuclear bomb: SCOTUS strikes down the ENTIRE #ACA (or nearly all of it).

Here's a *partial* list of the consequences of that happening:
⚠️ TWO MINUTE WARNING...

Again, the opinions are released every 10 minutes starting at 10:00am. We'll know when they're done for the day if there's an "R" number next to the docket listing on the SCOTUS website.

Follow @SCOTUSblog for more details; I'll be cross-posting here.
📣 FIRST OPINION OF THE DAY:

CALIFORNIA VS. TEXAS!!!
📣📣 "The Court holds that the plaintiffs do not have standing (a legal right to sue) to challenge the individual mandate because they have not shown a past or future injury fairly traceable to the defendants' conduct. It is by Justice Breyer."

--via @SCOTUSblog
It's 7-2!! (Alito & Gorsuch are the dissenters)
"Court does not reach the other questions (on the validity of the mandate or the severability question).

"We proceed no further than standing,"...Neither the individual nor the state plaintiffs have shown that their injuries are fairly traceable to the conduct"

--@SCOTUSblog
"As for the individuals, Breyer writes, they say they have going to have to make payments every month to carry the insurance. But the mandate has no means of enforcement any more; the IRS can't seek a penalty from people who don't buy insurance."

--@SCOTUSblog
I honestly thought they were gonna strike down the mandate as a token nod to the GOP so they could claim they did "something" about the ACA (scenario #2).

Instead they just threw the case out (scenario #1).

FANTASTIC!!
BLOG ENTRY (IN DEVELOPMENT) (apologies to @CitizenCohn but I *did* say the title was premature...):
acasignups.net/21/06/17/twelv…
.@nicholas_bagley called it from the start, by the way.
Welp. Just wrapped up a podcast interview to discuss the #TexasFoldEm case being dismissed for lack of standing.

I'm gonna go eat lunch now.

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More from @charles_gaba

17 Jun
I came down with a nasty case of shingles right after the first ACA Open Enrollment Period ended in April 2014. It was awful, worst pain I’ve ever felt and I couldn’t sleep for weeks. To this day I still suffer from mild Postherpetic neuralgia.
#GetVaxxed
Postherpetic neuralgia basically means that your pain neurons keep firing long after the shingles itself has gone away; it’s like they get stuck in a loop. To this day (7 yrs later) my right eyebrow itches like mad ALL THE TIME. Not too bad for me but much worse for some people.
Also, my right cornea was damaged to the point that I can never get lasik surgery because there’s too much risk of going blind in my right eye.

Shingles sucks on multiple levels.
Read 6 tweets
14 Jun
📣 BREAKING: HC.gov enrolls an *additional* 1.24 million Americans in #ACA exchange healthcare coverage via COVID Special Enrollment Period since 2/15 (beating my estimate of 1.2 million!)

Story soon... Image
📣 @CMSGov announces over 1.24 million people have enrolled in #ACA exchange coverage via HCgov SEP so far; #GetCovered thru 8/15!
acasignups.net/21/06/14/break…
📣 Special Enrollment Period enrollment via HC.gov is 3.5x higher than the same period in 2019 and 2.5x higher than same period in 2020!

Highest increase vs. 2019: Texas (5.5x as many SEP enrollees)

Lowest increase vs. 2019: Oregon (1.7x as many SEP enrollees)
Read 4 tweets
14 Jun
Decided to check in on a few states at the county level again. Here's California. Good grief.
cc: @ForecasterEnten
Here's what it looks like w/the counties sized by population.
Colorado as of today.
Read 48 tweets
13 Jun
Journalistic ethics question: If you post a blog entry today & then discover you made a factual error, you should correct it. However, what if you look at something you wrote, say, 5 years ago and realize that you had something factually wrong at the time? 1/
You can obviously add a correction, but what if the entire premise (or a major portion of it) turns out to simply be dead wrong? Do you delete/unpublish it? Add a note at the top saying "everything below turned out to be nonsense?" How far back do you take that sort of thing?
For instance, here's my very first ACA Signups blog post, which I wrote over at @DailyKos back on October 11, 2013, before ACASignups.net was even created. I added the following catch-all mea culpa for the first month of entries:
acasignups.net/21/05/07/84000…
Read 8 tweets
12 Jun
In Pulp Fiction, while Winston Wolf’s character in undeniably cool, why exactly did Vincent & Jules need his help in the first place? Aside from telling them to take the car/body to Monster Joe’s, what other vital advice did he actually provide them with?
He tells them to put the body in the trunk, clean up the blood & guts, cover the seats with old towels, and drive the car to a place where it/Marvin’s body can be disposed of. They couldn’t figure any of that out on their own?
Several folks have noted that they’re not too bright and many people panic in a crisis situation...but they’re supposed to be professional hitmen. Shooting & killing people is kind of their thing. Have they never been expected to clean up the mess if something goes wrong?
Read 4 tweets
9 Jun
📣 THE BIG ONE: CALIFORNIA: #ACA Medi-Cal expansion enrollment up 17% since COVID hit; total Medi-Cal enrollment up 9%:
acasignups.net/21/06/09/calif…
⚠️ If the Supreme Court strikes down the #ACA (their ruling could come as soon as TOMORROW), up to 5.85 MILLION Californians would lose their healthcare coverage, in most cases likely almost immediately.
HEY HEALTHCARE TWITTER: Does anyone know what the heck happened to *non-ACA* Medi-Cal enrollment in Sept/Oct 2017?? I find it difficult to believe that 2 million people suddenly enrolled in a single month w/out any major expansion policy going into effect. cc: @aewright
Read 4 tweets

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