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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a perfect program, but it has done so much good for me personally, and I’m terrified of what might happen if it is repealed without a replacement, or if the replacement doesn’t have many of the characteristics that make it so helpful for me.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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There's beauty everywhere, not just in the Maine w There's beauty everywhere, not just in the Maine woods. (Shocking to me, I know.) ⁣⁣⁣
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In the first cup of coffee of the day with the sun shining into the kitchen. ⁣⁣⁣
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In a completed checklist.⁣
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In a freshly cleaned house. ⁣⁣⁣
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There's beauty everywhere. ⁣⁣⁣
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Weeks 15 of 2026 Weekly Just trying to get throug Weeks 15 of 2026 Weekly

Just trying to get through!

1️⃣ IVIG time
2️⃣ I got a hair cut last week and then I looked nice at one point!

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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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FAQ: What Is Subtalar Fusion Surgery? Background FAQ: What Is Subtalar Fusion Surgery? 

Background: I have tarsal coalition and rheumatoid arthritis and had subtalar fusion in my left foot in 2009 and in my right in 2018. While this was started because of the tarsal coalitions, it is a surgery that can help rheumatoid arthritis, too. 

Video: Kate talks to the camera. There are captions. A black text box at the binning reads “FAQ: What Is Subtalar Fusion Surgery?”. 

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There will be times when you do everything you can There will be times when you do everything you can to feel better and it won't work. That's not a failing on your part.⁣⁣
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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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Weeks 13 and 14 of 2026 Weekly Had some rough pai Weeks 13 and 14 of 2026 Weekly

Had some rough pain days in here so I didn’t do a lot and I combined the weeks in 1 post!

1️⃣ Hematology appointment 
2️⃣ PCP, after which an x-ray showed stress fractures in 3 bones 
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1️⃣ Looking at Kate’s lap. There’s a medical bracelet on her wrist and a Kindle on her lap.
2️⃣ Kate takes a selfie in a doctor’s office. She’s a white woman with auburn hair wearing a black t-shirt, silver Celtic knot necklace, apricot mask, and green glasses.
3️⃣ Looking at a table on which is an orchid, an in-progress cross-stitch project, and a mug of tea.

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Background: I have tarsal coalitions and rheumatoi Background: I have tarsal coalitions and rheumatoid arthritis in both of my feet, and I’ve had resection surgery and subtalar fusion surgeries. I am not a medical professional and am sharing my experience! 

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We've all made this mistake once (or twice or a hu We've all made this mistake once (or twice or a hundred times ...) ⁣
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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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SELF-IMAGE WITH CHRONIC ILLNESS⁣⁣⁣ ⁣ It can be rea SELF-IMAGE WITH CHRONIC ILLNESS⁣⁣⁣
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It can be really easy to feel like chronic illness has taken over everything about you and that all you are is a patient. ⁣⁣⁣
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You might be different than you were before you developed symptoms, but that doesn't mean that everything about you is different, even if everything about your life is different. ⁣⁣⁣
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There is no one aspect of our lives that defines all that we are. That's true for LITERALLY EVERYONE! No one is just one thing. We're all many, many things. ⁣⁣⁣
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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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PREPARING FOR SUMMER WITH POTS⁣ ⁣ Summer is right PREPARING FOR SUMMER WITH POTS⁣
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Summer is right around the corner. Here are somethings I'm doing now to make it easier. ⁣
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1️⃣ Finding my many fans and making sure they're charged⁣
2️⃣ Increasing my sodium intake ⁣
3️⃣ Making sure I have plenty of @cure, my preferred electrolyte supplement⁣
4️⃣ Getting back into the habit of using Tachymon, the app I use on my watch as pictured here. I have it set to notify me not only when my heart rate gets high, but also when it has changed by a fair amount. Here, it shows my heart rate is 150 and the change from my recent average (104) is 45.6. With POTS, the problem isn't only an increase, but a quick increase. ⁣
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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: An Apple watch showing a heart rate of 150, recent average of 104, and change from that average of 45.6. A white text box reads "Preparing for Summer with POTS". ⁣
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