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Joined 3 months ago
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Cake day: July 9th, 2024

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  • The ACA was mostly designed by a republican (Mitt Romney). So it’s designed to let companies keep making big profits on health care which should be never be for profit. Then some of the important stuff that would have made it more affordable got kicked out by the courts, such as letting states (including mine) choose not to expand medicaid which left many people unable to get either medicaid or ACA. Still even with all the problems, it’s a hell of a lot better than things were before the ACA when millions of people with pre-existing conditions couldn’t even get insurance at all. But like you say there is still a lot of corrupt shit going on in health care that needs fixed, such as “pharmacy benefit managers” jacking up drug prices and lining their own pockets 😠




  • I wonder how they would go about all this. Medical records will have to be divulged to the State so it can track who is pregnant. They’ll have to outlaw home pregnancy tests, including buying them through the mail. Otherwise women could privately find out they’re pregnant and go out of state for an abortion without the State knowing. They’ll also have to monitor phone and email communications for everyone, not just the pregnant person, to make sure any attempt to contact out of state health providers is intercepted. Or maybe they’ll just slap an ankle bracelet on pregnant women.

    They’ll probably also enact laws like the abortion travel ban that Amarillo, TX has on the ballot this November:

    The ordinance, first proposed by anti-abortion activists, aims to forbid the use of the city’s roads and highways to seek an abortion out of the state. It would punish anyone aiding a woman seeking the procedure, including by providing funds or transportation, and be enforced through private lawsuits, similar to a 2021 state law that prohibited abortions after about six weeks of pregnancy.



  • Ending the electoral college and changing to popular vote for the presidency is a very important goal and young people should commit to make it your life’s work, because that’s how long it will take to get a constitutional amendment done, and only if a sustained effort is made.

    In the meantime we can also work toward other goals than can help:

    1. Expand the size of the House of Representatives. The population is now way too big for the number of representatives we have, each representing 1/2 to 3/4 of a million people or more, when the founders envisioned a ratio of 1 per 30,000. Obviously we can’t achieve that ratio, but there are several good proposals out there to make it more fair.

    2. Statehood for Washington, DC and Puerto Rico (they deserve representation! and it would add 4 more senate seats).

    Then there’s our representation in the Senate. Our population is distributed very unevenly among the states which get two senators each. Each Wyoming senator represents less than 300 thousand people; Each California senator represents about 20 Million people (2017 figures). By 2040, 2/3 of Americans will be represented by 30 percent of the Senate, and only 9 states will be home to half the country’s population [1]

    What can be done about this? What about splitting the most densely populated states into 2 or 3 states? Highly unlikely to ever happen, but it’s an idea. Then there’s the idea of population redistribution. This is happening all the time anyway, but people could consciously choose to move into lower population states where their vote would count more (and cost of living is lower). With remote work much more acceptable these days, it should be easier for people with certain kinds of jobs to do, but it would also need investors choosing to start businesses in those states instead of always flocking to the high density states. There is a little bit of that happening but not much. Otherwise I don’t know how this problem can be solved.

    [1] https://www.washingtonpost.com/news/politics/wp/2017/11/28/by-2040-two-thirds-of-americans-will-be-represented-by-30-percent-of-the-senate/