Preventive care is free by law, but many Americans get incorrectly billed − especially if you’re poor, a person of color or don’t have a college degree

  Even though preventive care is supposed to be free by law for millions of Americans thanks to the Affordable Care Act, many don’t receive recommended preventive services, especially racial and ethnic minorities, and other at-risk patient groups.

  The Affordable Care Act exempted preventive services from patient cost-sharing for large chunks of the population. This means that if you receive preventive screening and have private insurance, including through the ACA Marketplace, there should be no copay at time of service, and you shouldn’t get a bill later on. Easy enough, right?

The workforce benefits of Medicaid expansion in Alabama

  For nearly a decade, Alabama has been outside looking in on a good deal. While hundreds of thousands of Alabamians struggle without health insurance, state leaders have failed to expand Medicaid to cover adults with low incomes. A few loud voices have politicized an issue that shouldn’t be political. And our state has paid the price in lost dollars, lost jobs, and lost lives.

  Reliable access to health care keeps people healthier and empowers them to work. That’s one reason 39 states and the District of Columbia have embraced Medicaid expansion.

Nurses are leaving the profession, and replacing them won’t be easy

  The fourth wave of COVID-19 is exacerbating the ongoing crisis for the nursing workforce and has led to burnout for many nurses. As a result, many are quitting their jobs in substantial numbers all across the country, with 62% of hospitals reporting a nurse vacancy rate higher than 7.5%, according to a 2021 NSI Nursing Solutions report.

  But the global pandemic has only worsened problems that have long existed within the nursing profession – in particular, widespread stress and burnout, health and safety issues, depression, and work-related post-traumatic stress disorder, and even increased risk of suicide.

The Medicaid coverage gap requires permanent closure

  Inequities and disparities in U.S. health care access have had insidious impacts on communities for centuries and will require robust and long-term action to remedy. As of March 2020, 13 million people had gained Medicaid coverage in states that implemented the Affordable Care Act’s (ACA) Medicaid expansion. However, in 11 of the remaining states that have not expanded the program, 2.2 million people are stuck in the “coverage gap”: Despite having incomes below the federal poverty level (FPL), they do not qualify for Medicaid and are also ineligible for financial assistance for marketplace coverage. As a result, millions of low-income individuals—who are disproportionately Black and Latino—are unable to access the coverage they need.

A medical moonshot would help fix inequality in American health care

  COVID-19 has put the American health care system’s deeply entrenched inequities into high relief. The social, economic, and political structures that predated the pandemic’s public health crisis and resulting recession have meant that Black and Latino people are more likely than white people to be exposed to, hospitalized for, and die from COVID-19. But Black and Latino people also died at higher rates than whites from non-COVID-19 causes in 2020, underscoring the harm of delays in medical care generally.

  Simply put, inequity kills.

COVID-19 revealed how sick the US health care delivery system really is

  If you got the COVID-19 shot, you likely received a little paper card that shows you’ve been vaccinated. Make sure you keep that card in a safe place. There is no coordinated way to share information about who has been vaccinated and who has not.

  That is just one of the glaring flaws that COVID-19 has revealed about the U.S. health care system: It does not share health information well. Coordination between public health agencies and medical providers is lacking. Technical and regulatory restrictions impede theuse of digital technologies. To put it bluntly, our health care delivery system is failing patients. Prolonged disputes about the Affordable Care Act and rising health care costs have done little to help; the problems go beyond insurance and access.

Seven things President-elect Biden can achieve on health care

  President-elect Joe Biden has plenty of work ahead of him; reining in the out-of-control pandemic tops the list, and beyond that, there are significant challenges on health care in general.

Four myths about the public option

  The idea of a public option for health insurance has become increasingly politicized. Insurance companies, the pharmaceutical industry, and powerful hospital systems—all groups that profit from the status quo—are attempting to stir up fears about a plan that would actually help American families. In reality, a public option would lower costs, save American families money, and allow private insurance plans to continue to compete. The public option also remains a popular path for reform with growing support: A recent survey shows that 2 in 3 voters support a public option. In this column, the Center for American Progress sets the record straight on what a public option would do and discusses four common misconceptions about the plan.

Conservatives backed the ideas behind Obamacare, so how did they come to hate it?

  The Affordable Care Act is back before the U.S. Supreme Court in the latest of dozens of attacks against the law by conservatives fighting what they now perceive to be a government takeover of health care.

  Yet, in an odd twist of history, it was Newt Gingrich, one of the most conservative speakers of the House, who laid out the blueprint for the Affordable Care Act as early as 1993. In an interview on “Meet the Press,” Gingrich argued for individuals’ being “required to have health insurance” as a matter of social responsibility.

Poor U.S. pandemic response will reverberate in health care politics for years, health scholars warn

  Much has been written about the U.S. coronavirus response. Media accounts frequently turn to experts for their insights – commonly, epidemiologists or physicians. Countless surveys have also queried Americans and individuals from around the world about how the pandemic has affected them and their attitudes and opinions.

  Yet little is known about the views of a group of people particularly well qualified to render judgment on the U.S.‘s response and offer policy solutions: academic health policy and politics researchers. These researchers, like the two of us, come from a diverse set of disciplines, including public health and public policy. Their research focuses on the intricate linkages between politics, the U.S. health system, and health policy. They are trained to combine applied and academic knowledge, take broader views, and be fluent across multiple disciplines.

If Obamacare goes away, here are eight ways your life will be affected

  More than 10 years after its passage, the Affordable Care Act once more hangs in the balance. There have been plenty of near misses before, including previous Supreme Court appearances and Congressional votes. Yet in the wake of Justice Ruth Bader Ginsburg’s death, this time around Republicans may finally be successful in undoing the Obama Administration’s signature achievement. Hearings before the Supreme Court are scheduled to begin on Nov. 10 on whether a change in tax law makes the ACA unconstitutional.

While the U.S. is reeling from COVID-19, the Trump administration is trying to take away health care

  The death toll from COVID-19 keeps rising, creating grief, fear, loss, and confusion.

  Unfortunately for us all, the pain only begins there. Other important health policy news that would ordinarily make headlines is buried under the crushing weight of the coronavirus. Many have not had time to notice or understand the Trump administration’s efforts to wreck health care coverage.

Essential US workers often lack sick leave and health care – benefits taken for granted in most other countries

  The COVID-19 crisis has demonstrated the degree to which we depend on the work of others. This is particularly true of essential workers like truck drivers, grocery store employees, and hospital nurses who are ensuring the rest of us stay safe and are able to get the supplies, food, and health care we need.

  The pandemic has also drawn attention to the fact that these workers, like all Americans, do not receive many of the basic workplace benefits and protections – like paid sick leave and basic health care – that workers in almost every other developed country in the world receive as a matter of course.

Five lessons from the coronavirus about inequality in America

  The coronavirus is a global threat, but the pandemic has an uneven impact across the United States. It exacerbates existing inequalities and creates new challenges.

  I think this crisis can teach several important lessons about inequality in America: how it hurts, who it hurts the most, why that’s the case, and what can be done about it.

Long wait times in ERs drive up costs, signal health care distress

  Wait times in emergency rooms are so out of control that researchers recently tested whether aromatherapy would make waiting in the ER more tolerable.

  It didn’t.

  Over a decade ago, the Institute of Medicine offered an ominous warning: “Underneath the surface, a national crisis in emergency care has been brewing and is now beginning to come into full view.”

  Now the view is quite clear. ERs are packed and wait times are growing longer each year. In fact, even if you’re having a heart attack, you may have to wait to get to the doctor.

Your ultrasound isn’t a car. Why are you told to shop like it is?

  When my doctor suggested an ultrasound for the pelvic pain I was experiencing, my first question was “How much will that cost?” I am one of the many Americans with a high-deductible health care plan — $10,000 to be exact. I often scoff that my health insurance is a “get-in-a-doctor’s-door-plan,” because I pay cash for basically everything anyway.

  My doctor, recalling my poor insurance, asked, “Do you ever get to the other side of the state?” I looked at her quizzically. “Because there’s an imaging service over there that offers ultrasounds for …” She paused and searched her computer. “Let’s see … $137, maybe closer to $300 if they think you need both abdominal and transvaginal. But it’s like a two-hour drive.”

What the domestic gag rule means for Title X providers

  From cuts to teen pregnancy prevention funding to attempts to restrict a woman’s constitutional right to access an abortion, women’s reproductive health is under relentless attack from anti-choice policymakers and the Trump-Pence administration. As this barrage of attacks continues, the fate of a vital safety net hangs in the balance: the federal Title X family planning program.

  Almost 4,000 Title X health centers serve more than 4 million low-income women and men every year and provide important family planning and related preventive health services such as birth control, sexually transmitted infection (STI) testing, and cancer screenings. Enacted by the Nixon administration in 1970 after garnering broad bipartisan support, Title X has since saved taxpayers billions of dollars and reduced the country’s rate of unintended pregnancies, unplanned births, and abortions. The program is especially important to young women, women of color, and immigrant women, all of whom typically face systemic barriers to accessing care.

How the latest ACA repeal plan would harm women

  The latest attempt to repeal the Affordable Care Act (ACA) comes from a working group led by former Sen. Rick Santorum (R-PA) and several conservative think tanks and puts in place many of the repeal efforts in the 2017 Graham-Cassidy repeal bill, which failed to pass the U.S. Congress last fall. Despite that millions of people have stood up to say how important access to health care insurance is for their health and financial security, many groups are still trying to take away health care from people, including women and families, across the country. Not only would this so-called Graham-Cassidy 2.0 plan leave millions without coverage, but it would raise prices for people with pre-existing conditions and eliminate essential health benefits that women need, such as maternity care.

Discrimination prevents LGBTQ people from accessing health care

  All people who need medical care should be able to see their doctor without worrying about being mistreated, harassed, or denied service outright. The Affordable Care Act (ACA) helped address this issue by prohibiting health care providers and insurance companies from engaging in discrimination. As a result of several court rulings and an Obama administration rule, LGBTQ people are explicitly protected against discrimination in health care on the basis of gender identity and sex stereotypes. However, conservative forces and the Trump-Pence administration are seeking to make it easier for health care providers to discriminate against LGBTQ people and women.

Trump’s Medicaid work requirements could put at least 6.3 million Americans at risk of losing health care

  Last week, the Trump administration issued policy guidance that effectively ends Medicaid as we know it, allowing states to place punitive work requirements on certain Medicaid recipients—more than 7 in 10 of whom are caregivers or in school. Although these so-called work requirement policies may seem reasonable at first glance, in practice, they’re a way to strip away health insurance from struggling unemployed and underemployed workers. President Donald Trump’s actions are just the latest shoe to drop in his party’s deeply unpopular crusade to undermine Americans’ health care—including the highly popular Medicaid program—and come on the heels of a tax cut that rewards the massively wealthy over working Americans.