Deborah Levine Profile picture
Oct 2 5 tweets 2 min read
We could write a book about this short article:
1) explaining complex insurance terms— ok good
2) using a healthy white married man with f-t employment and a wife with access to excellent benefits at work as your lead example — wow *lots* to unpack there: nytimes.com/2022/09/30/bus…
3) Array of brokers & financial advisors weighing in as experts.
4) None of the 26yos featured in the article are parents, which is telling.
5) Are we finally witnessing a normalization of ACA marketplace plans as part of ins landscape rather than a new experiment?
#healthpolicy
A while back my brilliant colleague @jmullig5 and I wrote an article about the “young invincibles” and what it means over decades to build the insurance “system” around a presumed young white healthy male consumer. It’s long been a fraught concept: read.dukeupress.edu/jhppl/article-…
Certainly, 26 as cutoff for being on parents’ insurance, something that I thought was a pretty big change back in 2010, has been normalized & accepted. I don’t have to provide food or shelter to my kids after 18, but my employer has to provide health insurance if I ask them to?
It is a good workaround for getting a lot of people coverage in our current system and I am not against it at all… but it is a more radical shift than it got credit for at the time.

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More from @debbylevine

Oct 3
Once in a while I remember that 2022 higher ed life has been so wild that we literally found out that **several** current academics had *actual* skeletons in their closets (and desks and houses and offices) and it’s barely registered on the discourse-o-meter. What a world.
Well, there was the whole Penn museum holding human remains from children killed during the 1985 MOVE police firebombing which has had a lot of resist and turns but were returned to Penn from retired professor’s house thing.
Here’s a summary: hyperallergic.com/725976/philade…
There is another situation at Harvard which has been covered well in the Crimson; Harvard museum collection holds human remains despite request of family/descendants, and has loaned the materials on occasion: thecrimson.com/article/2022/9…
Read 7 tweets
Sep 14, 2021
Hey wow do you know what image I've been using to teach with FOREVER that hits really different right now? It's this one, of a mob protesting and threatening workers and patients outside a hospital, just before setting the place on fire:
You can read a nice quick synopsis of that debacle here: daily.jstor.org/when-new-yorke…
Students in FL2019 were shocked that people would physically threaten health care workers just trying to take care of infectious patients, putting themselves at great personal risk (employee funerals a budget line for hospital!) to care for the sick. 2 years later? Not so much.
Read 5 tweets
Aug 25, 2020
Finalizing my syllabus for an intro to US health policy course that starts next week. Amused by how many readings/discussions that used to take weeks of staging and scaffolding on my part can more or less be subbed out with HEY STUDENTS JUST LOOK OUT THE WINDOW ON 2020.
PRE-2020 course: Did you know that despite the availability of impressive & highly technical medical care for those with access, the US' ability to manage relatively simple *public* health risks is far beneath where it should be?
2020 Students, behind cloth masks: NO KIDDING.
PRE-2020 course used to have a week on emerging and re-emerging diseases, where I had to work to convince students that allocating too many HC resources to chronic illnesses ran the risk of being unready when/if communicable illnesses threatened US society.
2020 Students:
Read 7 tweets

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