Or rbg
U.S. Supreme Court has voted to strike down Roe vs. Wade
- Thread starter donwuan
- Start date
Not true. For example, the push for for charter schools is a subtle way of undermining Brown v Board.
That old hag should've retired. But that's just one vote. So instead of 6-3 decisions, we will get 5-4 decisions. Still a net lose. Trump and turtle nominated 3 supreme and countless lower court judges for life.
Now they want to protest aka have their block parties....
The left deserves all of this.....grow up and get some political discipline and maybe you won t let your rights be taken away next time.
The left deserves all of this.....grow up and get some political discipline and maybe you won t let your rights be taken away next time.
LoL nothing will happen and they know it
Better than the things than you get for voting for trump or not voting and seeing him win.
Obamacare is better than no Obamacare and he's the only pres that was able to get healthcare reform through. With trump and in his aftermath, look at the mess we have (see the court decisions... see the election denial, coup attempt, etc).
Obamacare is better than no Obamacare and he's the only pres that was able to get healthcare reform through. With trump and in his aftermath, look at the mess we have (see the court decisions... see the election denial, coup attempt, etc).
Not to mention maternal care for black women is shit.
Lmao Obamacare
Are there any abortion exceptions?
Also I hate to say but I have to give that Nazi credit for stacking the Courts with his kind , he did what his supporters hoped. U.S. will be ruled by those fucks next 30 - 50 yrs
If y'all know like I know, y'all will stop listening to dawg.
Elaborate ..
Page 151
Most threatening of all, no language in today’s decision stops the Federal Government from prohibiting abortions nationwide, once again from the moment of conception and without exceptions for rape or incest. If that happens, “the views of [an individual State’s] citizens” will not matter. Ante, at 1. The challenge for a woman will be to finance a trip not to “New York [or] California” but to Toronto.
Most threatening of all, no language in today’s decision stops the Federal Government from prohibiting abortions nationwide, once again from the moment of conception and without exceptions for rape or incest. If that happens, “the views of [an individual State’s] citizens” will not matter. Ante, at 1. The challenge for a woman will be to finance a trip not to “New York [or] California” but to Toronto.
Somebody has been previously diagnosed with cancer... illegal to deny them coverage. Yeah, Obamacare. Repubs been trying to get rid of it ever since it was signed into law. If it was insignificant, would they be putting that much energy into repealing (and lying about having a replacement for it)?
10 Ways the ACA Has Improved Health Care in the Past Decade
The health care law provides coverage for millions of Americans and protects people with preexisting conditions, but it remains under threat from a Trump administration-backed lawsuit.
AUTHORS
- Nicole Rapfogel
- Emily Gee
- Maura Calsyn
MEDIA CONTACT
Colin Seeberger
Senior Adviser, Communications
cseeberger@americanprogress.org
GOVERNMENT AFFAIRS
Madeline Shepherd
Director, Federal Affairs
mshepherd@americanprogress.org
Jerry Parshall
Senior Director, Safety and Justice Campaign and Acting Director, State and Local Government Affairs
jparshall@americanprogress.org
Then-President Barack Obama waves after speaking at an event on the 90-day anniversary of the signing of the Affordable Care Act, June 22, 2010, in the East Room of the White House. (Getty/Mandel Ngan)
Ten years ago this month, the Affordable Care Act (ACA) was signed into law. Since then, the law has transformed the American health care system by expanding health coverage to 20 million Americans and saving thousands of lives. The ACA codified protections for people with preexisting conditions and eliminated patient cost sharing for high-value preventive services. And the law goes beyond coverage, requiring employers to provide breastfeeding mothers with breaks at work, making calorie counts more widely available in restaurants, and creating the Prevention and Public Health Fund, which helps the Centers for Disease Control and Prevention (CDC) and state agencies detect and respond to health threats such as COVID-19.
Despite the undeniably positive impact that the ACA has had on the American people and health system, President Donald Trump and his allies have been on a mission to dismantle the law and reverse the gains made over the past decade—first through Congress and now through a lawsuit criticized by legal experts across the political spectrum. Even if the U.S. Supreme Court rules the ACA constitutional after it hears the California v. Texas health care repeal lawsuit this fall, President Trump’s administration cannot be trusted to put the health of the American people ahead of its political agenda. Trump’s administration hasn’t delivered on Trump’s commitment to “always protect patients with pre-existing conditions.”
The consequences of ACA repeal would be dire:
- Nearly 20 million people in the United States would lose coverage, raising the nonelderly uninsured rate by more than 7 percent.
- 135 million Americans with preexisting conditions could face discrimination if they ever needed to turn to the individual market for health coverage.
- States would lose $135 billion in federal funding for the marketplaces, Medicaid, and the Children’s Health Insurance Program (CHIP).
- Insurance companies would no longer be required to issue rebates when they overcharge Americans. In 2019, insurance companies returned $1.37 billion in medical loss ratio rebates to policyholders.
- The tax revenue that funds the expanded health coverage under the ACA would become tax cuts for millionaires, who would receive an average of $46,000 each.
1. 20 million fewer Americans are uninsured
The ACA generated one of the largest expansions of health coverage in U.S. history. In 2010, 16 percent of all Americans were uninsured; by 2016, the uninsured rate hit an all-time low of 9 percent. About 20 million Americans have gained health insurance coverage since the ACA was enacted. The ACA’s coverage gains occurred across all income levels and among both children and adults, and disparities in coverage between races and ethnicities have narrowed.
Two of the biggest coverage expansion provisions of the ACA went into full effect in 2014: the expansion of Medicaid and the launch of the health insurance marketplaces for private coverage. Together, these programs now cover tens of millions of Americans. Nationwide, 11.4 million people are enrolled in plans for 2019 coverage through the ACA health insurance marketplaces. Medicaid expansion currently covers 12.7 million people made newly eligible by the ACA, and the ACA’s enrollment outreach initiatives generated a “welcome-mat” effect that spurred enrollment among people who were previously eligible for Medicaid and CHIP.
2. The ACA protects people with preexisting conditions from discrimination
Prior to the ACA, insurers in the individual market routinely set pricing and benefit exclusions and denied coverage to people based on their health status, a practice known as medical underwriting. Nearly 1 in 2 nonelderly adults have a preexisting condition, and prior to the ACA, they could have faced discrimination based on their medical history if they sought to buy insurance on their own.
The ACA added a number of significant new protections for people with preexisting conditions. One group of reforms involved changes to the rating rules, prohibiting insurers from making premiums dependent on gender or health status and limiting their ability to vary premiums by age. The ACA also established guaranteed issue, meaning that insurers must issue policies to anyone and can no longer turn away people based on health status.
Another crucial protection for people with preexisting conditions is the ACA’s requirement that plans include categories of essential health benefits, including prescription drugs, maternity care, and behavioral health. This prevents insurance companies from effectively screening out higher-cost patients by excluding basic benefits from coverage. The law also banned insurers from setting annual and lifetime limits on benefits, which had previously prevented some of the sickest people from accessing necessary care and left Americans without adequate financial protection from catastrophic medical episodes.
3. Medicaid expansion helped millions of lower-income individuals access health care and more
To date, 36 states and Washington, D.C., have expanded Medicaid under the ACA, with 12.7 million people covered through the expansion. While the Medicaid program has historically covered low-income parents, children, elderly people, and disabled people, the ACA called for states to expand Medicaid to adults up to 138 percent of the federal poverty level and provided federal funding for at least 90 percent of the cost.
Medicaid expansion has led to better access to care and health outcomes for low-income individuals and their families across the country. A large body of evidence shows that Medicaid expansion increases utilization of health services and diagnosis and treatment of health ailments, including cancer, mental illness, and substance use disorder. Medicaid expansion is associated with improvements in health outcomes such as cardiac surgery outcomes, hospital admission rates for patients with acute appendicitis, and improved mortality rates for cardiovascular and end-stage renal disease. Beyond health outcomes, evidence points to improved financial well-being in Medicaid expansion states, including reductions in medical debt and improved satisfaction with one’s current financial situation. A study that assessed eviction rates in California found that Medicaid expansion is “associated with improved housing stability.”
Evidence shows that Medicaid expansion saves lives. According to a 2019 study, Medicaid expansion was associated with 19,200 fewer deaths among older low-income adults from 2013 to 2017; 15,600 preventable deaths occurred in states that did not expand Medicaid. As the Center on Budget and Policy Priorities points out, the number of adults ages 55 to 64 whose lives would have been saved in 2017 had all states expanded Medicaid equals about the number of lives of all ages that seatbelts saved in the same year.
4. Health care became more affordable
The ACA’s signature health insurance marketplaces—portals for people purchasing coverage on their own—launched in fall 2013 and made financial assistance for private coverage newly available. In 2019, nearly 9 out of 10, or 87 percent, of marketplace enrollees qualified for financial help with premiums, and roughly half—54 percent—received reduced cost sharing. Although the average plan premium was $612 per month, the average enrollee owed just $87 per month after applying the ACA’s financial assistance.
In addition to enabling states to expand Medicaid to millions of newly eligible low- and middle-income Americans, the ACA “included provisions to streamline eligibility, enrollment, and renewal processes” for Medicaid and CHIP. These changes make it easier for children to be enrolled in and stay covered by coverage with little or no cost sharing. The ACA also accelerated the development and promotion of data-driven systems: As of January 2019, all states allow potential Medicaid beneficiaries to apply online and most allow for application by phone.
Across nearly all health plans, both public and private, the ACA eliminated copayments and other forms of cost sharing for preventive services. This provision allows beneficiaries to seek contraception; screenings for cancers, blood pressure, cholesterol, and other illnesses; and immunizations without out-of-pocket payments. In addition, the ACA holds private insurance companies accountable for charging fair premiums, whether for individual market policies or for employer-sponsored coverage. The medical loss ratio (MLR) rules require insurance companies to return money to policyholders and employers if their health plans spend less than 80 percent to 85 percent of premium funds on medical care. In 2019, insurers returned $1.37 billion in MLR rebates to consumers for overpricing premiums relative to actual medical care.
The evidence shows that better affordability translates into better access. Between 2010 and 2018, the share of nonelderly adults who skipped a medical test or treatment fell 24 percent. ACA implementation reduced the probability of not receiving medical care due to cost by about one-quarter, and it dramatically increased the share of people who reported having a usual place of care.
5. Women can no longer be charged more for insurance and are guaranteed coverage for services essential to women’s health
Prior to the ACA, women faced unique barriers to adequate care. Insurers in the individual market could charge women up to 1.5 times more than men for health insurance, a discriminatory practice known as gender rating, and insurers treated pregnancy as a preexisting condition. Plans could also exclude critical women’s health benefits from coverage: In 2011, 62 percent of individual market enrollees were in plans without maternity coverage. The ACA outlawed gender rating and prohibited insurers from discriminating against people with preexisting conditions. The latter is a crucial protection for women: About 1 in 2 girls and nonelderly women have a preexisting condition.
The ACA mandates that plans include maternity coverage and makes key preventive services available without cost sharing, including breastfeeding support services and supplies; annual well-woman visits; and screenings for cervical cancer, HIV, and interpersonal and domestic violence. Thanks to the ACA, about 61 million women nationwide can access contraception without any out-of-pocket cost. One study estimated that the ACA’s contraception benefit has saved women at least $1.4 billion annually on birth control pills alone.
The ACA also recognized that supporting maternal and infant health required policy changes beyond health coverage. The law mandates that employers provide breastfeeding mothers break time and a private space to express milk during the workday.
6. Young adults and children have greater access to coverage
One of the first ACA provisions to go into effect was the rule guaranteeing young adults the right to stay on a parent’s insurance until age 26. About 2.3 million young adults—a group that is less likely to have an offer of employer-sponsored insurance than their older counterparts—gained coverage under the ACA’s dependent coverage provision. Later on, additional young adults gained coverage though marketplace financial assistance and Medicaid expansion. As a result, the uninsured rate among people ages 18 to 24 fell by half, dropping to 15 percent in 2017.
The ACA raised standards to ensure that children in low- and middle-income families can access health coverage. It extended the minimum Medicaid eligibility level for children to 138 percent of the federal poverty level and mandated that states “use a uniform definition of income” to set standards for children’s coverage. About one-quarter to one-third of new enrollees under Medicaid expansion are children. The ACA also defined pediatric dental and vision care as part of essential health benefits, ensuring that kids covered through both the marketplace and Medicaid have coverage for those services. Further, expanding coverage to adults—through the ACA marketplaces and Medicaid expansion—helps parents stay healthy and provides financial security to the entire family.
7. The ACA improved access to prescription drugs
Prior to the ACA, 9 percent of individual market plans did not cover prescription drugs. The ACA expanded drug coverage by requiring marketplace plans to “cover at least one drug in each drug class” and to count out-of-pocket drug expenses toward a beneficiary’s deductible. By expanding Medicaid eligibility as well as broadening the Medicaid Drug Rebate Program, the ACA gave more low-income Americans access to brand-name and generic drugs and lowered the costs for taxpayers. The ACA also expanded the 340B drug discount to include more providers, including critical access hospitals and rural referral centers.
The ACA also laid out a process for faster Food and Drug Administration approval of biosimilars, biologic drugs that are essentially analogous to generic versions of branded drugs. By encouraging competitors for high-cost biologic drugs, the ACA rules on biosimilars can potentially help bring down the price of these types of prescription drug costs and help make new therapies available to patients who need them. These are all important steps toward drug affordability, but there is much more work to be done.
8. Rural communities have benefited from the ACA
Medicaid expansion is particularly important for coverage and the sustainability of the health care system in rural areas. Rural residents are more likely to be covered by Medicaid: 22.5 percent of rural Americans have Medicaid coverage, including nearly half of all rural children. Medicaid expansion reduced the amount of uncompensated care that hospitals provide, boosting the financial viability of rural hospitals relative to their counterparts in nonexpansion states. While more than 100 rural hospitals have closed in the past decade, the closures have occurred disproportionately in nonexpansion states.
The ACA provides patients and the health care system with resources to combat the opioid crisis, which has hit rural areas particularly hard. The ACA requires plans to cover substance use disorder (SUD) treatment as an essential health benefit. Without this requirement, only 1 in 3 people covered through the individual market would have had access to SUD treatment.
Many people in rural and other medically underserved communities rely on community health centers and other Federally Qualified Health Centers (FQHCs) for comprehensive primary care. Federal grants provide 1 in 5 revenue dollars that community health centers receive, and 70 percent of that funding comes from the Health Center Trust Fund set up by the ACA.*
9. The ACA lowered costs for seniors on Medicare
Altogether, ACA programs have saved seniors more than $20 billion on prescription drugs since the law’s passage, and seniors have benefited from no-cost preventive services such as cancer screenings and wellness visits. By closing the Medicare Part D coverage gap—also known as the “donut hole”—the ACA has helped lower beneficiaries’ out-of-pocket costs for prescription drugs. Prior to the ACA, seniors who reached a certain level of prescription drug spending faced a coverage gap, in which they had to pay the full cost of all prescription drugs, before the plan’s catastrophic coverage kicked in. Before the ACA closed the coverage gap, about 5 million Medicare enrollees fell into it.
The ACA also invested in other improvements for the Medicare program by establishing the Center for Medicare and Medicaid Innovation, which is responsible for developing ways to improve patient care and lower health care costs.
10. Protections for disabled people were enhanced
Millions of Americans are disabled and rely on the ACA’s consumer protections and coverage. Prior to the ACA, people would be functionally uninsured after hitting arbitrary annual or lifetime coverage limits. The ACA prohibits insurers from setting coverage limits, as well as from denying coverage or raising prices for preexisting conditions.
Medicaid expansion has helped many disabled people and caregivers access care based on their income status. Not all disabled people qualify for the traditional Medicaid disability pathway. Medicaid expansion allows disabled people to join the workforce without jeopardizing their Medicaid benefits and gives low-income workers a fallback option for coverage if they lose access to employer-sponsored insurance.
Essential health benefits help disabled people access necessary services. Prior to the ACA, 45 percent of individual market plans did not cover SUD services and 38 percent did not cover mental health care. Following ACA implementation, people with mental health conditions became significantly less likely to report unmet need due to cost of mental health care.
Conclusion
The ACA has helped millions of Americans gain insurance coverage, saved thousands of lives, and strengthened the health care system. The law has been life-changing for people who were previously uninsured, have lower incomes, or have preexisting conditions, among other groups. Yet even as the ACA’s historic accomplishments are celebrated, it is important to note the high stakes of the dedication that the Trump administration and its allies have shown to dismantling the ACA and reversing a decade of progress.
The Affordable Care Act at 10 Years: What’s the Effect on Health Care Coverage and Access?
It’s been 10 years since passage of the Affordable Care Act (ACA). David Blumenthal, Sara Collins, and Elizabeth Fowler looked back at the ACA’s evolution, accomplishments, and shortfalls, focusing on federal subsidies and market reforms designed to increase the number of people with affordable...
Obamacare Map | Manhattan Institute
The Obamacare Impact Map, a product of the Manhattan Institute, is a tool to understand the multi-faceted effects of the Affordable Care Act on the nation.
2021-12-30 15:27 | Archive of HHS.gov
Obamacare has been an economic boon, but some red states still don't get the message
Twelve red states still haven't taken advantage of Obamacare's economic benefits.
www.latimes.com
Did the Affordable Care Act Reduce Racial and Ethnic Disparities in Health Insurance Coverage?
TOPLINES
- The ACA has not only spurred a decline in uninsured rates across all U.S. racial and ethnic groups, it’s also reduced disparities in coverage, especially between blacks and whites
- Gaps in health coverage rates between blacks and Hispanics and whites have narrowed since the ACA, but the gap has shrunk more in states that expanded Medicaid than in those that did not
Ajay Chaudry, Adlan Jackson, Sherry A. Glied
DOWNLOADS
ABSTRACT
- Issue: The Affordable Care Act (ACA) has substantially lowered uninsured rates nationwide. Previous research has documented that these overall declines also led to reductions in racial and ethnic disparities in health coverage rates.
- Goal: To use the most recent data available to determine the extent to which the ACA has reduced disparities in insurance coverage among different racial and ethnic groups.
- Methods: Analysis of the American Community Survey (ACS) for 2013 to 2017.
- Key Findings: All racial and ethnic groups saw gains in health coverage between 2013 and 2016, but these gains were especially pronounced for minority groups and individuals with incomes below 139 percent of the federal poverty level. In 2017, gains for minority groups generally flattened. The ACA’s disparity-reducing effects have been strongest in states participating in the Medicaid expansion.
- Conclusion: Gaps in insurance coverage among racial and ethnic groups narrowed the most in states that expanded Medicaid, suggesting that expansions of Medicaid in additional states would likely reduce disparities further.
How has the Affordable Care Act (ACA) affected disparities in health insurance coverage among different racial and ethnic groups? We know that the ACA has substantially lowered uninsured rates nationwide,1 but previous research has documented that these overall declines also led to reductions in racial and ethnic disparities in health coverage rates.2
For this data brief, we analyzed findings from the U.S. Census Bureau’s nationally representative American Community Survey to report on the most recent trends in insurance coverage broken down by poverty level and by race (see How We Conducted This Study). We also compare the ACA’s effects on coverage in states that took up the Medicaid expansion with states that did not.3 And we show changes in insurance coverage in the two largest expansion states, New York and California, and in the two largest nonexpansion states, Texas and Florida.
Findings
The proportion of nonelderly adults lacking health insurance fell from 20.5 percent in 2013 to 12.3 percent in 2017, a decline of 40 percent, while racial gaps decreased.
All U.S. racial and ethnic groups saw comparable, proportionate declines in uninsured rates (Exhibit 1). However, because uninsured rates started off much higher among Hispanic and black non-Hispanic adults than among white non-Hispanic adults, the coverage gap between blacks and whites declined from 11.0 percentage points in 2013 to 5.3 percentage points in 2017. Likewise, the coverage gap between Hispanics and non-Hispanic whites dropped from 25.4 points to 16.6 points.
Uninsured rates fell between 2013 and 2016 for all racial and ethnic groups and income categories, and then in 2017 inched upward for most groups. Gains in coverage for all groups were greatest between 2013 and 2015 and continued, though at a lower rate, in 2016. These gains ended in 2017. There were modest increases in uninsured rates among non-Hispanic whites and non-Hispanic blacks between 2016 and 2017.
Uninsured rates in states that expanded Medicaid eligibility under the ACA fell 49 percent, compared with 27 percent in nonexpansion states.
The biggest absolute reductions in uninsured rates occurred among Hispanic, black, and lower-income, nonelderly adults in Medicaid expansion states (Exhibit 2). Because of this, while disparities in coverage shrank in both nonexpansion and expansion states, the reduction in disparities was greater in the latter states. From 2013 to 2017, the coverage gap between blacks and whites in expansion states had dropped from 9.8 percentage points to 3.2 percentage points, and the corresponding gap between blacks and whites in nonexpansion states declined from 11.4 points to 6.2 points.
The ACA had an equalizing effect, reducing racial and ethnic disparities in coverage.
Hispanic people had the highest initial uninsured rate and experienced the greatest gains (an overall decline of 15 percentage points in uninsured rates and a nine-point decline in the gap with whites). Black people also had higher initial uninsured rates than whites and experienced greater gains (a 12-point decline in uninsured rates compared with six points among whites). Hispanic noncitizens (such as green card holders) also made gains in their insurance coverage, although this group did not qualify for Medicaid or for subsidies.
The importance of the Medicaid expansion in reducing disparities can be seen by comparing the experience of advantaged and disadvantaged groups in expansion and nonexpansion states (Appendix 2). Before the ACA expansions, the fraction of black and Hispanic people who were uninsured in states that would subsequently expand Medicaid was over 50 percent higher than the share of white people who were uninsured in states that would not go on to expand Medicaid. By 2017, the sharp declines in uninsured rates for both Hispanic citizens and non-Hispanic blacks in expansion states brought these rates below the rates for non-Hispanic whites in nonexpansion states.
All groups gained from the ACA’s expansions of public insurance coverage and private insurance coverage.
These gains were important in improving overall coverage among Hispanics, whose public insurance coverage rates increased by more than six percentage points from 2013 to 2017 (Exhibit 3). Private coverage grew most among black non-Hispanics and among Hispanics (Exhibit 4). At the beginning of this period, the private coverage rate for whites was 30 points higher compared to Hispanics. By the end of the period, that gap had narrowed to about 24 points.
Coverage gains were much greater in states that chose to participate in the Medicaid expansion than in those that did not.
The differences are particularly dramatic for the Hispanic population (Exhibit 5). While coverage rates were largely stable in expansion states between 2016 and 2017, trends began to reverse in nonexpansion states among non-Hispanic blacks and non-Hispanic whites (Exhibit 6).
The importance of Medicaid expansion in narrowing disparities can also be seen in a comparison of uninsured rates in the two largest expansion states, New York and California, with the two largest nonexpansion states, Texas and Florida (Appendix 2). For nearly all groups, uninsured rates were roughly twice as high in nonexpansion states in 2016. Moreover, uninsured rates for the lowest-income black, non-Hispanic, and Hispanic citizens in California and New York were lower than the overall uninsured rates for all non-Hispanic whites in Florida and Texas.
Conclusions and Policy Implications
There are persistent disparities in health outcomes among U.S. racial and ethnic groups. These disparities echo differences in access to quality health services.4 Lack of insurance coverage, in turn, limits access to such services. While eliminating disparities in insurance coverage alone will not eliminate racial disparities in health, it is a key first step.
In this study, we find evidence for a link between expansion in access to coverage and equity in receipt of that coverage. Gaps in insurance coverage among racial and ethnic groups narrowed extensively after implementation of the ACA coverage expansions, and especially between 2013 and 2016. These effects were greatest in states that expanded Medicaid. Our results suggest that expansions of Medicaid in additional states would likely reduce disparities further.
NOTES
1. Sherry A. Glied and Adlan Jackson, “The Future of the Affordable Care Act and Insurance Coverage,” American Journal of Public Health 107, no. 4 (Apr. 2017): 538–40.
2. Thomas C. Buchmueller et al., “Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage,” American Journal of Public Health 106, no. 8 (Aug. 2016): 1416–21.
3. Henry J. Kaiser Family Foundation, “Status of State Action on the Medicaid Expansion Decision,” 2018.
4. Kelly M. Hoffman et al., “Racial Bias in Pain Assessment and Treatment Recommendations, and False Beliefs About Biological Differences Between Blacks and Whites,” Proceedings of the National Academy of Sciences 113, no. 16 (Apr. 19, 2016): 4296–301; Ahmedin Jemal et al., “Factors That Contributed to Black-White Disparities in Survival Among Nonelderly Women with Breast Cancer Between 2004 and 2013,” Journal of Clinical Oncology 36, no. 1 (Jan. 1, 2018): 14–24; and William L. Schpero et al., “For Selected Services, Blacks and Hispanics More Likely to Receive Low-Value Care Than Whites,” Health Affairs 36, no. 6 (June 2017): 1065–69.
Yeah but I told people they was going to fuck up shit going out the door
Mitch did it... Trump was just there at the right time. Mitch made shit up to deny Garland and force Coney-Barrett through.
How so?
It ain't just them. The Buffalo and Charleston shooters are young, very young and they vote republican. Most of the proud boys are groups like that are in their 20's. Most people I see with Let's go Brandon and I did that gas station stickers are not baby boomers. The young kids with jacked up trucks with 2024 Trump flags are not boomers. The problem is racist white people of all ages.
And if they don't, who then will y'all or other folks blame???
What would they do with a majority?
I said I dont know.....answering questions with questions useta get me popped in my household. I try not to do it
The evangelical right held their nose and voted for a man who said "grab them by the pussy" just for this day......while the other side was talking about her emails....
You jackasses.
You jackasses.
You got Uncle Thomas talking about going after more folks rights....
And folks are still out here bullshittin'
Oh well I guess no vasoline is the motto.
And folks are still out here bullshittin'
Oh well I guess no vasoline is the motto.
Got one already lol
I know, the Dems allowed it. So it is what it is unless ALL the Judges die which is unlikely
honestly though, their weakness and inability to play the game wasn't at fault... Mitch had the numbers he needed and 2 deaths and a retirement dropped into his lap. There wasn't much of anything they could do to stop him. He took full advantage of it, so he said basically.. no fucks, I'm stopping him and pushing her through.
Why didn't Clarence bring up Loving v Virginia
Name names.
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