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in Health · February 21, 2017

What’s the Value of the Affordable Care Act?

A key aspect of American political discussion over the past couple of years has been the Affordable Care Act, also known as Obamacare. From the moment it was signed in 2010, politicians who dislike the bill have been trying to dismantle it. It was something that our president promised to abolish, and as soon as the new congressional session began in January, politicians have been talking about (if not actually working on) how to achieve this. As of right now (late February, 2017), there is no concrete replacement that has been brought up; many simply want to abolish it.

As a disabled woman in her mid-twenties, the Affordable Care Act has greatly impact my life, and generally in a positive manner. While I’ve talked a lot about the ways that this bill has helped me on social media, I wanted to break it down in more detail here. I want to explain how it has helped me, as well as its value. I’m aware that it isn’t a perfect program, but it has done so much good for me personally, and I’m terrified of what might happen if it is repealed without a replacement, or if the replacement doesn’t have many of the characteristics that make it so helpful for me.

A key element of political discourse in America over the past few years has been the Affordable Care Act. In order to look at its value, I explain the different ways it helps me personally, as well as other ways it helps other people.

6 Ways the Affordable Care Act Has Helped Me

Preexisting conditions – It is now illegal for insurance companies to turn away people with pre-existing conditions (x). This should be pretty self-explanatory; without this, no insurance company would cover me, which means no medical treatments, which means extreme high pain (and potentially my arthritis going after organs because that’s a thing). Between physically living as well as having any kind of quality of life, my life depends on my treatments.

Staying on my parents’ insurance – You can stay on your parents’ insurance until you are 26, which is especially helpful for anyone who doesn’t have a job right after college, has a job that doesn’t have benefits, or can’t work (x). In my case, right after college, I was working as a teacher in Nashville, and I was able to be on my dad’s insurance so I could see my doctors in Massachusetts. I’ve been able to be on his insurance and will be until I turn 26 in June (which is TERRIFYING at the moment), which has enabled me to see my amazing medical team while I’m in grad school.

Eliminating lifeline and annual limits – Insurance companies can’t put limits on how much they pay for your healthcare per year or your life, which is an actual thing that happened (x)! Like, what?! “Oh, sorry, you were too sick this year. We’re not paying for you any more.” Whether you have a chronic illness or cancer or a car accident, you shouldn’t go into mountains of debt because something bad happened to you. This also goes back to the preexisting conditions conditions thing; if I need surgery or have an ER trip early in the year, that shouldn’t make it so I have to pay the full price of my healthcare for the rest of the year

These are just some of the ways this law has helped me, but they’re the major ones. You probably also noticed that this list doesn’t include getting insurance from the healthcare marketplace; this is because a) I’m still under 26 and have been able to stay on my parents’ insurance and b) there is so much more to this law than the insurance marketplace. A lot of people tend to focus on the marketplace on not always on the other elements of the law.

Advocating in Washington, D. C.

Is the Affordable Care Act Valuable?

The short answer? Yes, it is. It has provided insurance for many people who didn’t have it beforehand and probably saved many people’s lives. Like I said, I’m terrified of what my life would look like without the Affordable Care Act. While I get that many people prefer small government (aka the government staying out of everyone’s business), a big problem with the world is that there are industries and people who care more about making money than helping people. For example, insurance companies don’t want to insure people with preexisting conditions because they will cost more money than someone who has one physical a year and that’s it. In my opinion, the government needs to step in when it comes to situations like that to protect the citizens.

Laws like this are necessary in order to ensure than the average person is protected and doesn’t go into horrific amounts of debt because of our insurance and healthcare system. The United States has one of the highest amounts of medical costs compared to other countries like the UK, France, Australia, etc. (x). I know I’ve said this several times in this post, but it bears repeating: you shouldn’t go into hundreds of thousands of dollars of debt so you can survive. That shouldn’t happen.

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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  1. Kate the (Almost) Great | Boston Lifestyle Blog - The Deadly Consequences of Incorrect Healthcare Reform - Kate the (Almost) Great | Boston Lifestyle Blog says:
    September 15, 2017 at 8:00 am

    […] what the ACA does and doesn’t allow, and where the failings are. I’ve talked abut how the ACA is valuable to me and my situation, and I’ve mentioned extensively on social media how certain protections provided by the ACA […]

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In July 2025, it will have been 15 years since my In July 2025, it will have been 15 years since my RA diagnosis. Here's how I've changed since then!⁣
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(And I'm not talking about how my health has changed!)⁣
▪ I trust myself and my instincts a LOT more⁣
▪ I understand my body's limitations AND the best ways o get around them to have the life I want⁣
▪ I love using mobility aids as they make my life a lot better⁣
▪ I cook and bake a lot more⁣
▪ Work-life balance is not an option for me: it's a requirement⁣
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How have you changed since your diagnosis?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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ID: Kate sits at a desk with her head in her hand. On her desk are notebooks and pens. She is a brunette white woman wearing an olive dress, gray stone necklace, and round tortoiseshell glasses. ⁣
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#AlmostGreatHealth #RheumatoidArthritis #arthritis #SpoonieLife #healthblogger #autoimmune #autoimmunedisease #chronicallyill #healthblog #chronicallyill #disability #disabled #invisibleillness #DisabledAndCute #spoonielife #RheumatoidDisease
Week 18 of #2025Weekly ⁣ ⁣ This week was prima Week 18 of #2025Weekly ⁣
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This week was primarily about getting things set and wrapped up before a heavy appointment week, including my infusion, next week. ⁣
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1️⃣ Meal prepping (the finished product of this salad has a lot more ingredients, including protein, but it doesn’t looks as aesthetically pleasing once they’re in there) ⁣
2️⃣ Started the week at the doctor and with a cortisone shot in my knee. He was very impressed with me and I had to point out that when you start your cortisone shots with some in your ankle area - which has a lot more stuff in it and requires being done under x-ray) your knee is truly nothing.⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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1️⃣ Cut up vegetables in a clear glass container⁣
2️⃣ Kate takes a selfie in a doctor's office. She's a brunette white woman wearing a green t-shirt, blue mask, round tortoiseshell glasses, and silver Claddagh necklace.⁣
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#AlmostGreatHealth #AlmostGreatLife #ChronicallyIll #InvisibleIllness #RheumatoidArthritis #RheumatoidDisease #Rheum #Arthritis #ArthritisAwareness #AutoimmuneDisease #Autoimmune #SpoonieLife
Drop your suggestions in the comments _______ Drop your suggestions in the comments 

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Video: the view of a sun setting over a lake as seen through the trees. Upbeat music plays. Top text reads “How To Deal with Unsolicited Advice”. Then a series of messages pop up. The are: 
“Sorry, my mom said I can’t do that”

“Didn’t you hear? The new pope said that was heresy.” (Ideal if you’re not Catholic)

“I have to wait until mercury isn’t in retrograde, and it’s always in retrograde”

“My psychic said that will kill me”

#AlmostGreatHealth #ChronicallyIll #ChronicIllnessHumor #ChronicPainHumor #InvisiblyIll
Having decades-long health problems sometimes mean Having decades-long health problems sometimes means coming across something in your health history that you completely forgot about⁣
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I’m Kate, a chronic illness patient and advocate. Follow me for more content for chronic illness patients and their loved ones!⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣ID: Screenshot of a thread post written by Kate Mitchell | Kate the (Almost) Great with the username katethealmostgreat. ⁣⁣The background is dark teal. All text is what’s above the first black square.⁣⁣⁣
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#AlmostGreatHealth #rheumatoidarthritis #arthritis #spoonielife #healthblogger #autoimmune #autoimmunedisease #chronicallyill #healthblog #dysautonomia #fibro #fibromyalgia #endo #chronicallyill #disability #disabled #invisibleillness #spoonielife #healthblogger
Here are some ways I practice self care, aka talki Here are some ways I practice self care, aka talking care of myself AND who I am as a person separate from illness⁣
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This is my Wonderful Things jar. Every day, I write down something wonderful or good that happened that day. ⁣
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I know it looks like I'm forcing Harley to sit like this, but he was making this face before I put my arm around him. Dog snuggle time is the best!⁣
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I got a Kindle this year and it has been amazing. It's so much easier on my body than lugging around books and it makes borrowing from the library a lot easier.⁣
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Yes, I share this all the time, but filling my pill boxes every 3 weeks make it so I stick with all of my medications. But the self-care part of this is that I don't have to take the time to refill a box every single week.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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IDs: ⁣
1️⃣ A glass jar on a desk with a lot of multi-color post-its inside⁣
2️⃣ Kate has her face in a golden retriever who is slumped onto her. They're in a teal room with a red rug. Kate is a brunette white woman wearing red pants and a gray sweater.⁣
3️⃣ A Kindle on dark mode in Kate's lap⁣
4️⃣ 3 open pill cases on a yellow bedspread ⁣
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#AlmostGreatHealth #AlmostGreatLife #SelfCare #ChronicallyIll #ChronicallyAwesome #SpoonieLife #Spoonie #ChronicLife #ButYouDontLookSick #InvisibleIllness #MentalHealthMatters #RetrieversOfInstagram #Readers #Kindle #WonderfulThings #GratitudePractice
What I Bring To the Doctor _______ Video: a pa What I Bring To the Doctor 

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Video: a pan of an exam room. White text reads “What I Bring To the Doctor ” and the “1. Planner/notebook
2. List of current medications 
3. Notes on my biggest concerns and questions 
4. My kindle for wait time” 
The intro to Maroon 5’s Priceless plays. 

#AlmostGreatHealth #ChronicIllness #ChronicPain #RheumatoidArthritis #SjogrensSyndrome #Fibromyalgia #Endometriosis
💃🏼 Week 17 of #2025Weekly 💃🏼⁣
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1️⃣ She’s married!! ⁣
2️⃣ She married the best person in the world for her!!!!!⁣
3️⃣ I got dressed up! ⁣
4️⃣ The reality of doing fun things with chronic illness and pain is that then you have to recover from the fun things. It took … a while. One million percent worth it, but this is why I don’t do big events on a regular basis. ⁣
5️⃣ And then I had to be a person again for an appointment!⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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IDs: ⁣
1️⃣ Kate stands hugging Emmie. They're both white woman. Emmie is in a wedding dress and Kate is in a red dress and wearing round tortiseshell glasses.⁣
2️⃣ Kate and Emmie stand next to Matt, Emmie's husband. He is a white man.⁣
3️⃣ Kate takes a mirror selfie. she's in the same red dress but now also wears a jean jacket and holds a cane and mask.⁣
4️⃣ Kate takes a selfie while giving a thumbs up. She looks tired. She's now wearing a pink flowery dress. ⁣
5️⃣ Kate takes a mirror selfie. She's wearing black shorts, a gray shirt, a jean jacket, a blue mask, and black aviator sunglasses. She has a bag over her shoulder and holds a cane.⁣
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#AlmostGreatHealth #AlmostGreatLife #ChronicallyIll #InvisibleIllness #SpoonieLife #RheumatoidArthritis #RheumatoidDisease #Autoimmune #ButYouDontLookSick #AutoimmuneDisease #SpoonieLife #InvisibleIllness #DisabledAndCute
On the one hand, you should always believe what pe On the one hand, you should always believe what people tell you about their bodies.⁣
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On the other hand, I’ve had so much ridiculous and unconnected health things happen that I do understand why people might not believe me.⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣I’m Kate, a chronic illness patient and advocate. Follow me for more content for chronic illness patients and their loved ones!⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣ID: Screenshots of a thread posts written by Kate Mitchell | Kate the (Almost) Great with the username katethealmostgreat. ⁣⁣The background is dark teal. All text is what’s above the first black square.⁣⁣
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#AlmostGreatHealth #ChronicallyIll #ChronicPain #Autoimmune #AutoimmuneDisease #RheumatoidArthritis #RheumatoidDisease #SpoonieLife #InvisibleIllness
Last week, I talked about how it surprised me how Last week, I talked about how it surprised me how systemic autoimmune arthritis can be. But something else that surprised me was how much pain can be caused by small things.⁣
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In this picture, I was getting ready to have an MRI on my knee. It has been bothering me a fair amount the last 6+ months, so I'm trying to do something about that. ⁣
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Unsurprisingly, some of the tissue is damaged, but it's not bad. What's probably causing it to bother me so much is a teeny tiny cyst. ⁣
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Baker's cysts are a type of cyst in the knee that are generally caused by arthritis. But having a cyst in my knee means that it's causing pressure on that damaged tissue. ⁣
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The body is a weird thing, and one of these weird things is developing tiny cysts that cause a lot of pain. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣
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ID: Kate takes a mirror selfie. She's a brunette white woman wearing a hospital gown, scrub bottoms, black mask, round tortoiseshell glasses, and round tortoiseshell glasses. ⁣
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