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in Health &middot 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a perfect program, but it has done so much good for me personally, and I’m terrified of what might happen if it is repealed without a replacement, or if the replacement doesn’t have many of the characteristics that make it so helpful for me.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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July is: ⁣ - Disability Pride Month ⁣ - Juvenile A July is: ⁣
- Disability Pride Month ⁣
- Juvenile Arthritis Awareness Month ⁣
- the anniversary of when I was diagnosed with autoimmune arthritis at age 19 after 9 years of symptoms ⁣
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As you can imagine, that makes me very aware of my disability via juvenile arthritis⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Screenshot of a Bluesky post. The background is dark teal, and it's written by Kate Mitchell | Kate the (Almost) Great with the username katethealmostgreat.bsky.social. ⁣The text reads what's above the first black box.⁣⁣⁣⁣⁣
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#DisabilityPride #JuvenileArthritis #RheumatoidArthritis #AutoimmuneDisease
There are a lot of reasons why you shouldn't doubt There are a lot of reasons why you shouldn't doubt someone's chronic illness, but this is one of them. ⁣
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I'm always amazed by how people can have the exact same illness or set of illnesses and still have different experiences. Sure, there will be similarities, but which symptoms are the worst, what medications you respond to, and your quality of life can vary significantly. ⁣
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It doesn't mean that one person is necessarily worse off than another; they're just different.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate takes a selfie. A white text box reads "Chronic Illness Looks Different in Each Person"⁣
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#ChronicallyIll #RheumatoidArthritis #Endometriosis #Fibromyalgia #POTS
This basically sums up my summer so far: Harley, a This basically sums up my summer so far: Harley, a sewing project, and my foot in a cast⁣
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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Harley the golden retriever has his head on Kate's lap. Also on her lap is an in-progress needlepoint project and Kate's leg (in a walking cast) is elevated.⁣
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#Osteoporosis #RheumatoidArthritis #GoldenRetrievers #Needlepoint #Needlework
Week 28 of 2026 Weekly A very busy week! 1️⃣ Foo Week 28 of 2026 Weekly

A very busy week!

1️⃣ Foot checkup! Walking boot is on occasionally from now until September 
2️⃣ Boston 
3️⃣ IVIG
4️⃣ Dentist 🦷 All good! 
5️⃣ Not a filter - this was the Boston area the second half of the week 
6️⃣ Physical time!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.

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IDs:
1️⃣ Kate takes a selfie in a doctor’s office
2️⃣ Looking at TD Garden, the bear statue for the Bruins, and Zakim Bridge in the background 
3️⃣ Looking at tubes coming out from under Kate’s clothes. There’s a Kindle on her stomach
4️⃣ Kate takes a mirror selfie before leaving
5️⃣ Medford Square looking like there’s a yellow filter over it
6️⃣ Kate takes a selfie in a doctor’s office

#ChronicallyIll #InvisibleIllness #AutoimmuneDisease #Bostonian #IVIG
Also, if this is how you’re finding out, I’m sorry Also, if this is how you’re finding out, I’m sorry. I’m fortunate enough to have a lot of people who care about me and this is the fastest way to tell everyone. 

Video: Kate talks to the camera while putting on makeup. There are captions. 

#RheumatoidArthritis #AutoimnuneDisease #ChronicIllness #Arthritis #ChronicPain
Week 27 of 2026 Weekly (Delayed because last Sund Week 27 of 2026 Weekly

(Delayed because last Sunday was baaaaad)

1️⃣ Due airport difficulties, we got a few more days with Emma. Harley was THRILLED!
2️⃣ Beautiful bird/squirrel visitors
3️⃣ A beautiful Maine summer day

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.

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1️⃣ Harley the golden retriever putting his front legs up on Emma’s legs to demand hugs.
2️⃣ A bird feeder and hummingbird feeder on a deck. There is a hummingbird at one and squirrel at the other.
3️⃣ A barn, a pond, and the Maine woods

#207 #MaineLife #MaineTheWay #NewEnglandSummer #IGMaine
Reminder: you can be proud of your disability comm Reminder: you can be proud of your disability community while wishing your body cooperated more⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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 ID: Screenshot of a thread post. The background is dark teal, and it's written by katethealmostgreat. ⁣The text reads what's above the first black box.⁣⁣⁣⁣⁣
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#DisabilityPride #ChronicallyIll #InvisibleIllness #Disabled #Disability
I don’t know the exact date of my RA diagnosis, bu I don’t know the exact date of my RA diagnosis, but this is from right around then in July 2010. ⁣
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When I was diagnosed, I had been having symptoms for 9 years. ⁣
- 9 years of foot pain (partially from tarsal coalition)⁣
- Arthritic damage in said food⁣
- Carpal tunnel off and on for several years⁣
- And more⁣
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I was finally diagnosed because I woke up one morning and was unable to open my jaw more than 8 mm. It turned out that I had horrible arthritic damage to my TMJs, which got me off the waiting list at MGH rheumatology. I left that appointment with an autoimmune arthritis diagnosis. ⁣
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The fact that July is not only my diagnosis anniversary but also Juvenile Arthritis Awareness Month has always seemed right. I may not have been diagnosed with JA, but given the amount of arthritis I had along with my many years of symptoms, it's generally accepted that I had it. ⁣
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This year marks 16 years since diagnosis and this fall marks 25 years since my symptoms started. It's pretty weird that so much time has already passed!⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate at 19 at Fenway Park for a Red Sox game. ⁣
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#RheumatoidArthritis #AutoimmuneDisease #Arthritis #JuvenileArthritis #JRA
Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
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