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What I’m amazed about is that the people who passed ACA thought that healthcare insurance exchanges would be The Thing but despite the Supreme Court’s kneecapping universal Medicaid expansion, in fact it’s been Medicaid expansion that has been transformative! It’s been passed again and again in ballot initiatives, and that despite decades of negative messaging about it! I’m thrilled to be honest, both because Medicaid is truly accessible, with very low if any copays and no monthly premium burden.

I personally have both Medicaid and Medicare, and to me that is the perfect combination, insofar as Medicaid covers glasses and dental, and Medicare for all has been a progressive rallying call. I think both should be a thing for everyone to have, rather than one or the other.

When the Supreme Court is expanded, I would definitely like for the ACA to reach it again and Medicaid universal expansion to be a Thing and finally equitable care would take place. Increasing the income able to be covered should also be explored, because 138% of the poverty income level can still not be a living wage.

It’s a travesty that original Medicaid is allowed to be capped at 17% of the poverty income level in Texas, a thing that exists literally nowhere else. No wonder so much of Texas are healthcare deserts in and of themselves, despite the clear need and the fact that maternal care deserts are the inevitable byproduct of that. Pro life amirite.

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