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I am a prize-winning author and journalist with over 20 years of experience specializing in health care, retirement issues, and the nexus between business and public policy. I write regularly for The New York Times, Newsday, The Scientist, Institutional Investor, and more

Actually, We Still Don’t Have Health Coverage for All

The New York Times, June 27, 2015


It certainly would have been a lot worse if the Supreme Court had nitpicked four unclear words and essentially thrown out the Affordable Care Act. Luckily, Americans have retained their right to at least some health care coverage. However, the messy and frantic negotiations that gave us those shoddy four words also left other spots of murkiness and gaping holes. For instance, even with the tax credits that the court upheld, the premiums, co-pays and deductibles are too high for many people, especially in the states that have refused to expand Medicaid. Meanwhile, states continue to erode reproductive rights, including access to affordable birth control, real sex education, and safe abortions. And speaking of reproductive issues, we must find a better resolution to the heart-rending quandary of genuine religious conviction vs. women’s desperate needs. Obamacare is making a great start at controlling hospital prices; can that clout also be harnessed to rein in Big Pharma and keep a tough eye on insurance premiums? So, just like a healthy lifestyle, our attitude toward the Court decision should be a combination of low-stress contentment and high-energy activity.

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