Category: Article Share
The US doesn’t have universal health care — but these states (almost) do
“Universal health care remains an unrealized dream for the United States. But in some parts of the country, the dream has drawn closer to a reality in the 13 years since the Affordable Care Act passed.
Overall, the number of uninsured Americans has fallen from 46.5 million in 2010, the year President Barack Obama signed his signature health care law, to about 26 million today. The US health system still has plenty of flaws — beyond the 8 percent of the population who are uninsured, far higher than in peer countries, many of the people who technically have health insurance still find it difficult to cover their share of their medical bills. Nevertheless, more people enjoy some financial protection against health care expenses than in any previous period in US history.
The country is inching toward universal coverage. If everybody who qualified for either the ACA’s financial assistance or its Medicaid expansion were successfully enrolled in the program, we would get closer still: More than half of the uninsured are technically eligible for government health care aid.
Particularly in the last few years, it has been the states, using the tools made available by them by the ACA, that have been chipping away most aggressively at the number of uninsured.
Today, 10 states have an uninsured rate below 5 percent — not quite universal coverage, but getting close. Other states may be hovering around the national average, but that still represents a dramatic improvement from the pre-ACA reality: In New Mexico, for instance, 23 percent of its population was uninsured in 2010; now just 8 percent is.
Their success indicates that, even without another major federal health care reform effort, it is possible to reduce the number of uninsured in the United States. If states are more aggressive about using all of the tools available to them under the ACA, the country could continue to bring down the number of uninsured people within its borders.
The law gave states discretion to build upon its basic structure. Many received approval from the federal government to create programs that lower premiums; some also offer state subsidies in addition to the federal assistance to reduce the cost of coverage, including for people who are not eligible for federal aid, such as undocumented immigrants. A few states are even offering new state-run health plans that will compete with private offerings.”
https://www.vox.com/policy/23972827/us-aca-enrollment-universal-health-insurance
Earth will soon cross a scary climate change threshold. What happens next?
“in 2023, there were several natural forces converging on top of human-caused warming pushing up temperatures around the world. For example, in addition to heating caused by greenhouse gasses from burning fossil fuels, temperature cycles in the Atlantic Ocean and the El Niño pattern in the Pacific Ocean converged in their hot phases this year.
However, such a record-breaking year presents a vivid example of the conditions that may soon become typical in a warmer world, or even on the cooler end of possibilities. And for people concerned about the devastating effects of climate change, it’s ramping up the urgency to keep greenhouse gasses in check.”
https://www.vox.com/23969523/climate-change-cop28-paris-1-5-c-uae-2023-record-warm
Is Biden doomed in 2024? 3 theories about the president’s bad polls.
“In survey after survey, large majorities of respondents say both that the economy is terrible and that Biden is doing a bad job managing it. For months, American economists and policy wonks have expressed puzzlement about these results, pointing to strong GDP growth, low unemployment, the lack of a recession in the US, and cooling inflation rates.
But after a two-year period featuring the highest inflation in decades, prices are still a whole lot higher than they were four years ago — and voters seem not to have forgiven that just yet. (This has been a global phenomenon, worse in Europe than in the US, that could be dragging down many incumbents.) And governments’ chief inflation-fighting tool, high interest rates, may also be painful to many people, making it harder to get credit. Stock markets have stagnated or fallen since early 2022 (after many years of continuous upward expansion in the US). Some Americans could also see their incomes taking a hit due to the expiration of generous pandemic aid.”
https://www.vox.com/2024-elections/23949102/biden-polls-2024-losing-old-economy
The Ethnic Cleansing of Jews within Muslim Countries
Getting Russia Right | Robert Wright & Thomas Graham
https://www.youtube.com/watch?v=pidScubXHEo
Nuclear Modernisation – Rearmament, ageing stockpiles and why Russia’s nukes work (probably)
Mike Johnson Gives The Game Away In Bonkers Speech
Israeli settler violence against Palestinians in the West Bank, briefly explained
“Since the Six-Day War of June 1967, the state of Israel has planned and funded Jewish outposts throughout the West Bank; other settlers have moved in without the state’s explicit backing. The settlers believe they have a right to be there, even though most of the international community views the settlements as illegal.
These populations are largely separated by Israel’s complex security infrastructure, including military checkpoints, armed patrols, a separation barrier, and color-coded identification cards and license plates. This system dictates all aspects of daily life for West Bank residents.
Some settlers have for years harassed and attacked the Palestinians living there, often with impunity and occasionally with the support of Israeli soldiers. In the weeks since October 7, however, the rate of violence has significantly increased. It is already the deadliest year since the Second Intifada, and is getting bad enough for the eyes of the world to occasionally leave Gaza and look to the West Bank.
“I continue to be alarmed about extremist settlers attacking Palestinians in the West Bank,” President Joe Biden said in late October, comparing the attacks to “pouring gasoline on fire.”
Meanwhile, popular support for Hamas has surged among Palestinians in the West Bank as faith in the Palestinian Authority plummets.”
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“There are ideologically driven settlers who believe that the West Bank is the historic homeland of the Jewish people and that they have every right to build homes and establish Israeli sovereignty in these areas, no less so than Israel had a right to establish settlements in 78 percent of historic Palestine, the borders of Israel prior to 1967. And this is an argument that they make to their detractors in Israeli politics.
The second type of settler is just an ordinary middle-class or upper middle-class person who is moving there because there are financial incentives to do so. You can have a nicer home, a larger home, a less expensive home. And because it has all been set up in a way that makes it painless to live there and gives you the sense that this is really no different than any other suburb, members of the middle class do move there. What happens over time is they often start to shift ideologically after moving there because every human being naturally wants to feel justified in what they’re doing.
The third type are ultra-Orthodox Jews, and they historically had avoided living in settlements. But that changed. And they live in a few settlements, but they’re very large and dense. And those settlements are, for the most part, closer to the edge of the West Bank, closer to the boundary with pre-1967 Israel.”
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“The Palestinian and Jewish communities in the West Bank are entirely segregated and the settlements have gates at their entrances and security guards at those gates. Palestinians are not allowed to enter them unless they are coming as pre-approved workers, as cleaners or gardeners or construction workers.”
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“settler violence is a broad term that includes everything from settlers going and burning down olive trees of Palestinians who live nearby. It includes raids on Palestinian communities in the middle of the night. It includes activities that Israeli officials even have referred to as pogroms, such as the burning of all kinds of property in the town of Huwara earlier this year or in the town of Turmus Ayya last June.
The Palestinians who are attacked are entirely defenseless in this situation. [Israel points to terror attacks by Hamas, including a November 30 shooting at a bus stop in west Jerusalem, as a reason to maintain security measures.] They know that if they lay a single finger on an armed settler who enters their home, they can be arrested and put in jail and locked up in what is known as administrative detention, which is detention without trial or charge. Israel can do that for six months to somebody, and then extend it indefinitely.
And so when a Palestinian encounters a settler militia, they know that putting their finger on that settler is not putting their hand on an individual. It’s putting their hand on the entire state of Israel, this enormous machine that controls their every movement and that can arrest them and their family members at any moment.”
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“When there are cases filed against settlers for attacks on Palestinians, fewer than 10 percent result in an indictment and only 3 percent result in a conviction.”
https://www.vox.com/politics/2023/12/2/23984104/west-bank-israel-palestine-settler-violence
Israel moves into southern Gaza after a week-long truce — and its goals are murkier than ever
“The continued, widespread bombing of civilian buildings to get at the tunnels underneath, where Hamas protects fighters and its supplies, has already caused thousands of deaths, but Raphael Cohen, director of the strategy and doctrine program with RAND Project AIR FORCE, told Vox there’s no real alternative.
“Israel’s been seized with the tunnel issue since Operation Protective Edge, so at least since 2014, at least the past decade, and has invested a lot of time and energy into … how you detect these things, but hasn’t figured out a foolproof way of finding them, particularly without being there on the ground,” he said. “There’s no silver bullet to detect them, and once you find them, then you have to destroy the tunnel, and there’s no clean way to do it.”
But an investigation by the Israeli outlets +972 and Local Call this week indicates that in northern Gaza, the IDF was far less precise in its operations than necessary to keep from harming civilians — backing up what Israeli officials have already said about their approach being destructive rather than surgical. According to the investigation, based on interviews with current and former Israeli intelligence operatives, the military “has files on the vast majority of potential targets in Gaza — including homes — which stipulate the number of civilians who are likely to be killed in an attack on a particular target.”
Some of those targets, which the military calls “power targets” are “not distinctly military in nature,” according to the investigation, and “include private residences as well as public buildings, infrastructure, and high-rise blocks.” The investigation found that the military has stepped up its attacks on power targets in the latest conflict, dubbed “Operation Swords of Iron.” That, in turn, has exponentially increased the number of civilian casualties, as has the use of artificial intelligence to generate Hamas targets, according to the report.
“When a 3-year-old girl is killed in a home in Gaza, it’s because someone in the army decided it wasn’t a big deal for her to be killed — that it was a price worth paying in order to hit [another] target,” one source told the outlet. “We are not Hamas. These are not random rockets. Everything is intentional. We know exactly how much collateral damage there is in every home.”
The IDF has destroyed much of northern Gaza’s infrastructure — around 98,000 buildings have been demolished or damaged in the north, according to a BBC review of satellite imagery. Throughout the region, about 60 percent of the housing stock has been damaged or destroyed, Al Jazeera reported.”
https://www.vox.com/world-politics/2023/12/2/23985622/israel-goals-southern-gaza-truce-hamas