“We are about to witness, for the first time, the power of a fully operational Affordable Care Act (ACA).
The American Rescue Plan made 3.7 million more people eligible for the ACA’s premium subsidies. The Biden administration had already opened up enrollment after taking office, and 200,000 Americans signed up in the first two weeks. Now the administration is extending enrollment until August 15, backed by millions of dollars in advertising.
Insurers are expanding into new markets, and some who abandoned it long ago in the law’s fraught early years are now reentering. The individual mandate is gone, but, as it turns out, it may not be as important to the law’s long-term viability as originally thought. The law had been weakened since its passage by the Supreme Court and Republican opposition. So this is a new beginning of sorts.
“The ACA is right now much closer to what its advocates hoped it would be from the start,” Larry Levitt, executive vice president at the Kaiser Family Foundation (KFF), told me. “This is a true test of how effective a juiced-up ACA can be at getting us closer to universal coverage.
Taken together, come Labor Day, the country should have the clearest idea yet of how the ACA functions at full strength — and where holes in the US health system remain.”
“With New York’s law, 15 states and Washington, DC, have now legalized marijuana for recreational purposes, although DC doesn’t allow recreational sales. (South Dakota voters approved a ballot initiative to legalize cannabis in November, but that measure’s future is uncertain as it’s caught up in legal battles.)”
“Nowadays, doctors recommend taking a humane and affirming approach when a child expresses that their gender may not match their assigned sex at birth. This affirmation includes allowing trans kids to socially transition (i.e., use whichever name, pronouns, and clothing make them comfortable). Medical interventions — like puberty suppression or gender-affirming hormones like estrogen or testosterone — are only recommended for adolescents who have been insistent, persistent, and consistent in their gender identity over long periods.
The affirming model has been recommended by nearly every major American medical association, including the American Academy of Pediatrics, the American Medical Association, the American Psychological Association, the Endocrine Society, the World Professional Association for Transgender Health, the American College of Obstetricians and Gynecologists, and many others.
While the affirming model is often willfully misconstrued as instructing parents to accept a child’s gender identity and rush them off into medical interventions, it’s really more about creating a space for trans kids to explore their own gender expression and more thoroughly understand their dysphoria before deciding on whether to transition or not. Allowing a trans adolescent to go on puberty blockers is a decision most parents don’t take lightly. Transitioning is a slow, deliberative process for minors.
Puberty blockers merely act as a pause on an adolescent’s natal puberty, so that adolescents ages 9 to 14 can be more mentally mature before deciding on the course of their permanent treatment when the time comes”
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“puberty… brings along its own permanent changes, which could only partially be reversed through painful and expensive medical treatments in adulthood. Trans women forced through male puberty would then have to undergo painful and expensive electrolysis to remove facial hair and may be left with a body frame (shoulder and hip width) that would be unchangeable by any surgeries. Trans men would have to have surgery to remove their breasts and, like their trans female counterparts, be forced to live in an unwanted body frame for their entire lives.”
“Fox News fancies itself, at least outside of its Hannity-style programming, as a journalistic outlet. But its recent string of hires tells a different story.
Despite the Trump administration’s legacy of unrelenting dishonesty and Trump’s recent turn against Fox, the network has hired several former Trump officials of late, basically becoming a jobs program for any former Trump aide who desires gainful employment — and ensuring that Trump’s brand of politics will have a regular, prominent place on national television.”
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“While there’s ample precedent for former White House officials making the leap into news media when their tenure in government is through — George Stephanopoulos went from the Clinton White House to ABC News, for example, and Dana Perino went from the George W. Bush White House to Fox News — the volume of former Trump officials Fox News has hired is notable, particularly because Fox News staffing itself with Trump family members and former staffers will keep Trumpism relevant.”
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“Donald Trump, meanwhile, can self-promote by calling in to friendly hosts who will let him opine about Biden’s purported failures on national TV, even if he can no longer post tweets.
It won’t be good journalism, but that’s rarely the point with Fox. What it will do is help Trump maintain control over the Republican Party heading into the 2022 midterms — and beyond.”
“If you are a biotech engineer who specializes in a certain branch of biotech and you move to Silicon Valley, where at any moment in time there’s a thousand biotech firms looking for biotech engineers, you might be able to find biotech firms that really value your branch of biotech. That same person moves to Chicago, when at that moment in time there’s a handful of firms looking for employees in biotech; well, you might have to settle for a less good match, a biotech firm that is not really looking for your area of specialization. Notice that it really favors both the firm and the worker. Firms move to the Bay Area and they’re really looking for somebody that is specialized in a certain branch of biotech; and vice versa, it’s much harder for them in Chicago.
And also notice this advantage is not there for unskilled or non-specialized labor. If you are a janitor or a secretary or a welder, the advantages of agglomeration don’t really mean much for you — but if you are a specialized scientist or mathematician or engineer or an innovator, that market thickness will provide a better match. So that’s one important channel that has been documented to improve the productivity both of the firm and the work.”
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“for the innovation sector broadly defined, I think they’re going to see quantifiable losses in productivity as measured by quantifiable losses in the amount of innovation these types of workers will be able to create. A lot of the existing research points to the fact that by clustering geographically, these inventors, before Covid, were significantly more productive in quantifiable ways. I have a paper where I quantify the number of patents that an inventor could gain by moving to a tech cluster and the quality of those patents as measured by patent citations. So we’re talking about quantifiable causal effect on productivity and creativity; the moment you start losing that creativity and productivity, that’s when both the employer and employee have something to lose from this decentralized application.”
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“some occupations can be probably managed in the long run remotely without huge losses in productivity. Probably that depends, from industry to industry and employer to employer.”
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“So we’ve been talking a lot about labor demand — people moving to superstar cities to get these good jobs. There’s another facet, which is labor supply. A lot of young people actually want to live in these places — a lot of young people were attracted by the urban amenities. Right now it’s not too surprising that places like San Francisco and New York are deserted by a lot of these same people, because right now a lot of these urban amenities are shut down.
Assuming that we can go back to feel safe around each other and the vaccines can manage our safety effectively, I think it’s fair to assume that urban amenities will come back pretty much at the same level that existed before, so [the] labor supply of well-educated workers will keep flowing to these places.”
““I look at it this way: The first time, we have an excuse. There were about 100,000 deaths that came from that original surge,” Birx told CNN chief medical correspondent Sanjay Gupta. “All of the rest of them, in my mind, could have been mitigated or decreased substantially.”
In sum, Birx suggested that thousands of American deaths were all but unavoidable as a result of the initial surge of the coronavirus in February and March of last year. But she said better adherence to public health guidelines — including mask-wearing and social distancing — could’ve saved the lives of many of the 450,000 people (and counting) in the US who have died since then.”
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“While Birx’s suggestion that as many as 100,000 deaths were too difficult to prevent is arguable — a better-prepared federal government could have limited spread and saved lives by building out a testing infrastructure much more quickly than the one overseen by Trump”
“Guam has been a US territory since 1898, and today, the Department of Defense occupies roughly 30 percent of its land — a share that’s only growing.
Most recently, the Pentagon decided to relocate roughly 5,000 Marines from Japan to Guam as part of a larger realignment of US military forces in the Asia-Pacific region. Meanwhile, the ongoing construction of the newest US Marine base, Camp Blaz, is nearing completion, despite major opposition from the island’s local residents. Further aggravating Guam’s native Chamorro people, military officials last summer found human remains and cultural artifacts dating back to the island’s pre-colonial Latte period during the excavation of the land, as they seemingly broke ground on ancient villages.
Guam’s pristine northern coastline has also recently been impacted by the construction of a massive firing range complex, which is an extension of the Marine base. It not only sits atop numerous historical sites, but it’s also dangerously near the island’s primary source of drinking water and would gravely damage the island’s natural resources and biodiversity — including more than 1,000 acres of native limestone forest and species, such as Guam’s slender-toed gecko.
On top of this, and in concert with a pandemic that’s taken the lives of hundreds of native Pacific Islanders, Aguon’s book comes at a time when Indigenous Chamorro people face growing erasure. Many Americans still don’t know that people born on the island are US citizens — citizens who enlist in and die serving the military at a higher rate per capita than anyone in the country yet cannot vote in US elections.”
“Data from the FBI, the Council on Criminal Justice, and crime analyst Jeff Asher shows that the murder rate surged by upward of 25 percent in 2020. Violent crime in general rose as well, though not as much as murders, with aggravated assaults and shootings up. But nonviolent crimes, such as those involving drugs or theft, fell — leading to an overall decrease of crime even as violent crime and murders rose.
The murder increase essentially set the US back decades on crime reduction efforts, putting total murders back at the levels of the 1990s.
The increase was truly nationwide, with the FBI data finding surges in places rural and urban, across every region of the country.”
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“Last year was extremely weird in a lot of ways, in large part due to Covid-19. It also, obviously, just happened. Both of those factors make it really hard for experts to isolate what led to a murder spike. So far there’s no consensus.”
“The median Black household has a net worth of only $24,100, a fraction of the $188,200 in net worth the median white household has, 2019 Federal Reserve data shows.
And these numbers don’t always show the nuance of financial instability for many Black families. A quarter of Black households have zero or negative net worth, compared with a tenth of white families, according to the Economic Policy Institute.
The reasons for the wealth gap are complicated and multi-layered, with racism, historical injustices, structural inequality, and educational disparities all playing a huge role. So do career choices, marriage status, and inheritance levels for Black people, which are starkly lower than for white people. The practice of redlining, for example, under which the government would not guarantee loans for Black Americans who were trying to purchase homes, as well as the effect of mass incarceration on Black representation in the workforce, are just a couple of examples of how African Americans are systematically prevented from building wealth.
Consequently, here’s the harsh reality about being Black in America: The deck is often so stacked against you that the weight of it all can feel overwhelming — no matter your income, your net worth, or how much you’ve achieved. For African Americans like me, systemic inequities and generations of poverty can make it seem like whatever you’ve done is never enough, especially when you know you’ll have to help support relatives or make contingency plans for any number of scenarios out of your control.
The reality is that for those of us able to generate wealth and reach a level of comfort, we are often also financially supporting family members or paying down debt. We simply don’t have that generational wealth that so many white families have to fall back on and start out their adult lives with. Even two people earning the same income can be looking at totally different financial situations based on their race and class: One could be putting money into savings or investing, while the other might be using that same income to pay a family member’s rent or help support an aging parent’s retirement.
I know that people like my mother don’t have any real safety net other than relatives. There’s no inheritance coming. As a result, for far too many Black people, low income and low wealth translate into a lifetime of scraping by.”
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“Among Black Americans, it’s not uncommon for those who can to help family members financially: Some call it the “Black tax,” a term commonly used in South Africa that refers to the obligations of first-in-the-family college graduates, professionals, or others who “make it” to assist their family members.
I’m happy to help out my mother by covering her needs when she’s short on cash. But it can be an emotional experience for her to even ask”
“examining how the rollout of Medicaid in the late 1960s affected people who were children at the time.
If you got health insurance through the program as a child, he found, you were less likely to die young; you were likelier to be employed and less likely to have a disability as an adult; and all these benefits actually wound up saving the government money.”