Study: Red states could lose big in Trump’s repeal of Obamacare

New President Donald Trump has made repealing the Affordable Care Act a top priority.

But a study out of Harvard finds that such a repeal could hurt some of his most ardent supporters in red states. The study focuses on Southern red states who have expanded Medicaid as part of Obamacare. Rolling this portion of the ACA back could have dire consequences for states like Arkansas, Kentucky and Louisiana.

States that have not expanded Medicaid for ideological reasons — such as Florida and Texas — may be less affected, the study from Harvard’s Department of Health Policy and Management. The survey of Texas found that Obamacare had a negative impact, for instance.

“The economics of rolling back Medicaid expansion strongly suggest that doing so would harm patients, hospitals, and state budgets,” stated an article in the New England Journal of Medicine published this week. 

Researchers Benjamin Sommers and Arnold M. Epstein have been doing telephone surveys for four years of low-income adults in Southern states to gauge the effectiveness of Obamacare.

“Our survey provides insight into the current views of many adults living in red states, and the verdict is clear: in states that have embraced coverage expansion despite their political leanings, the ACA’s Medicaid expansion has made a positive difference that is recognizable to the people whose lives have been most directly affected by it,” their article stated.

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Though 19 states declined to expand Medicaid under the ACA, 13 states won by Donald Trump in the 2016 presidential election have opted for expansion since 2014. West Virginia and Kentucky have experienced among the largest proportional increases in Medicaid enrollment in the country.

The researchers said that the question is not whether many Americans — even those in thoroughly red states — have benefited from the ACA, but whether that will be enough to save it.

Study: Red states could lose big in Trump’s repeal of Obamacare

New President Donald Trump has made repealing the Affordable Care Act a top priority.

But a study out of Harvard finds that such a repeal could hurt some of his most ardent supporters in red states. The study focuses on Southern red states who have expanded Medicaid as part of Obamacare. Rolling this portion of the ACA back could have dire consequences for states like Arkansas, Kentucky and Louisiana.

States that have not expanded Medicaid for ideological reasons — such as Florida and Texas — may be less affected, the study from Harvard’s Department of Health Policy and Management. The survey of Texas found that Obamacare had a negative impact, for instance.

“The economics of rolling back Medicaid expansion strongly suggest that doing so would harm patients, hospitals, and state budgets,” stated an article in the New England Journal of Medicine published this week. 

Researchers Benjamin Sommers and Arnold M. Epstein have been doing telephone surveys for four years of low-income adults in Southern states to gauge the effectiveness of Obamacare.

“Our survey provides insight into the current views of many adults living in red states, and the verdict is clear: in states that have embraced coverage expansion despite their political leanings, the ACA’s Medicaid expansion has made a positive difference that is recognizable to the people whose lives have been most directly affected by it,” their article stated.

nejmp1700156_f1

 

Though 19 states declined to expand Medicaid under the ACA, 13 states won by Donald Trump in the 2016 presidential election have opted for expansion since 2014. West Virginia and Kentucky have experienced among the largest proportional increases in Medicaid enrollment in the country.

The researchers said that the question is not whether many Americans — even those in thoroughly red states — have benefited from the ACA, but whether that will be enough to save it.

Racial gap found in cervical cancer deaths

A new study says the death rate from Cervical cancer is significantly higher among U.S. blacks than for white women

The medical journal Cancer on Monday published the finding that the rate black American women are dying from the disease is akin to that of women in many poor developing nations.

 

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Cervical cancer cells. (Courtesy Creative Commons)

Experts say what is especially disturbing is that cervical cancer is largely preventable through screenings.

“This shows that our disparities are even worse than we feared,” said Dr. Kathleen M. Schmeler, an associate professor of gynecologic oncology at the University of Texas M. D. Anderson Cancer Center.

“We have screenings that are great, but many women in America are not getting them.”

Schmeler, speaking to the New York Times, said President  Donald Trump’s  plan to repeal the Affordable Care Act could make matters worse because it covers screening and may result in the closing of family planning clinics, which performs the test.

The mortality rate for black women was 10.1 per 100,000. For white women, it is 4.7 per 100,000, according to the study.

Some doctors said the disparity could reflect unequal access to screening and insurance coverage.

Cervical cancer is caused, in most cases, by the virus called human papillomavirus, or HPV. It can be transmitted through sexual contact. There is a vaccine for women 26 years and younger.

 

 

Attorney: Accusers silence finally broken by Trump’s denial of sexual assault

Fort Lauderdale Attorney Adam Horowitz knows how hard it is for victims of sexual assault – be it rape or unwanted kissing and groping – to come forward.

So the lawyer who has represented other alleged victims in civil actions in Florida says he is not surprised that women claiming they were sexually assaulted by Republican Presidential nominee Donald Trump kept their stories to a close circle of friends for years, even decades.

He does not represent as of yet any of the woman who has accused Trump of groping or other sexual misconduct.

Attorney Adam Horowitz represents 20 women accusing doctors of sexual misconduct. ‘Patients have a right to know what their doctors are accused of,’ he says. (Thomas Cordy / The Palm Beach Post)
Attorney Adam Horowitz has represented victims of sexual assault. He says that Trump’s denial of abuse was the final straw for women to come forward with their allegations against him. (Photo: Palm Beach Post)

Trump’s accusers said it was the last straw when they saw him during Sunday’s debate deny he ever forced himself on any women despite audio tape of him bragging about it. Trump was forced to answer the question by the moderator, CNN’s Anderson Cooper.

“Nothing gets a victim more irate as the perpetrator denying it and making excuses for his behavior,” said Horowitz, who has no connection with the Trump accusers. “He was not taking ownership of his action and they also knew they weren’t alone.”

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Mindy McGillivray of Palm Springs, Fla., says she was helping a photographer at a concert at Mar-a-Lago when Trump touched her. (Photo courtesy of Davidoff Studios)

The Palm Beach Post in an exclusive reported that Mindy McGillivray said Trump groped her 13 years ago while she was at his Palm Beach club Mar-a-Lago.

People magazine writer Natasha Stoynoff also came forward to say she was attacked by Trump at Mar-a-Lago during an interview.

The New York Times has a separate story about of two other women who say Trump made unwanted sexual advances to them in the early 2000s.

Trump’s campaign has said the women are lying and are part of coordinated effort on the media’s part to smear the candidate and tilt the election in the favor of Democrat Hillary Clinton. He has dismissed what was caught on audio tape as “locker room talk.”

“It may be an October surprise to Donald Trump, but these women have told other people before,” Horowitz said.

Trump’s campaign rounded up women who have made accusations against Clinton’s husband – former President Bill Clinton – of sexual assault, saying their voices should be heard. They say Hillary Clinton worked to discredit their stories.

Horowitz represents 20 women accusing doctors of sexual misconduct. The Palm Beach Post in July investigated doctors accused of sexually abusing their patients and how they were allowed by the state to keep practicing for years.

The lawyer said that many women have been victims of this kind of unwanted advance and that this election has laid bare this an ugly culture.

“Just this week on Twitter thousands of women are reporting their first instance of sexual assault. It is empowering to them to tell their stories,” Horowitz said. “There is strength in numbers.”

Yet, when the assault actually happens, the victim feels completely isolated and powerless.

“Sexual abuse is still a stigma and nobody wants that label attached to them,” Horowitz said. “At the same time, most of these women don’t think they will be believed.”

Context is also important because the person doing the groping is a person of power – an employer, a doctor, a person of standing in the community – then women must consider if coming forward will “interfere with their professional development or advancement in the workplace,” he said.

“You kind of just want to leave it alone – that is how some women feel,” Horowitz said.

He said the Trump accusers have little to gain by coming forward.

It is too late to press criminal charges against Trump and any civil monetary redress would be difficult because these incidences happened so long ago.

“They certainly are not in it for the money,” he said. “It is not a surprise that the women who have come forward are being attacked and being challenged.

“It is amazing that this is what our election is coming down to,” Horowitz said. “At the same time if it empowers women to tell their stories and if this exposes this culture than it is a positive thing.”

With thousands in attendance, Donald Trump holds a rally in Boca Raton on the eve of Florida's primary election at the Sunset Cove Amphitheater in Boca Raton, March 13, 2016. (Daniel Owen / The Palm Beach Post)
Donald Trump at a rally earlier this year in Boca Raton, March 13, 2016. (Photo: The Palm Beach Post)