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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a perfect program, but it has done so much good for me personally, and I’m terrified of what might happen if it is repealed without a replacement, or if the replacement doesn’t have many of the characteristics that make it so helpful for me.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 are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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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: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
Weeks 23 and 24 of 2026 Weekly! The last two wee Weeks 23 and 24 of 2026 Weekly! 

The last two weeks were prepping for my infusion, having/recovering from my infusion, and getting caught up after. This meant things were very busy but also I don’t have a lot to show for them. 

1️⃣ New glasses! I really like having multiple pairs so I can switch them as I want.
2️⃣ One of my current projects. I got this standing hoop for my birthday and I’m working on an alphabet (uppercase and lower, although I’m still working on the lower) with extra floss.
3️⃣ Infusion time! I got my higher dose so hopefully my symptoms improve a lot in the upcoming weeks🤞🏻

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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. Her new glasses are thin silver circles
2️⃣ An in-progress cross-stitched alphabet in a special hoop stand that Kate is sitting on.
3️⃣ Kate takes a selfie in an infusion chair.

#ChronicallyIll #RheumatoidArthritis #AutoimmuneDisease #CrossStitcher
Week 22 of 2026 Weekly 1️⃣ Off to see my foot doc Week 22 of 2026 Weekly

1️⃣ Off to see my foot doc … and my foot is healing! Yay!
2️⃣ A very cool notification to get!
3️⃣ This is 35 🎂
4️⃣ Featuring Harley snuggles 
5️⃣ And then it was my mom’s birthday! 
6️⃣ With Harley again 

ID: 
1️⃣ Kate takes a mirror selfie 
2️⃣ a notification from WordPress saying “Receive views from 150+ counties. The United Nations has nothing on you!”
3️⃣ Kate smiles for the camera in a cafe 
4️⃣ Kate in the same outfit with Harley the golden retriever on her lap. 
5️⃣ Kate’s mom smiling in a restaurant 
6️⃣ Kate with Harley again 

#GoldenRetrieversOfInstagram #ChronicallyIll #ChronicPain #InvisibleIllness
Lifestyle Changes I Made for My Rheumatoid Arthrit Lifestyle Changes I Made for My Rheumatoid Arthritis⁣
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While these are not my treatments, they have made my life better in some ways. ⁣
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What lifestyle changes have you made, for RA or another condition?⁣
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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: ⁣
A series of pictures. Each has a text box on them related to the picture. ⁣
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1️⃣ Lifestyle changes I made for my rheumatoid arthritis⁣
2️⃣ Wearing a mask⁣
3️⃣ Using a cane⁣
4️⃣ Changing my diet⁣
5️⃣ Working from home⁣
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#ChronicIllness #RheumatoidArthritis #AutoimmuneDisease #Arthritis #ChronicallyIll
What helps you mentally get through a tough time?⁣ What helps you mentally get through a tough time?⁣
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I'm struggling right now with my broken foot, which brings back a lot of tough memories. That plus being due for Rituxan and the heat starting up has made things hard. ⁣
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Here are somethings I do: ⁣
▪ Stick with my routine⁣
▪ Make recipes that I really enjoy⁣
▪ Work on embroidery projects so I can do something productive that involves stabbing fabric⁣
▪ Cut myself slack ⁣
▪ Get Harley hugs⁣
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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 and Harley the golden retriever hugging. Kate is a redheaded white woman wearing a black dress, pink sweater, and round pink glasses.⁣
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#GoldenRetrievers #RheumatoidArthritis #Fibromyalgia #POTS #SjogrensSyndrome
Week 21 of 2026 Weekly 1️⃣ First real cross-stit Week 21 of 2026 Weekly 

1️⃣ First real cross-stitch project: done! 
2️⃣ The magic machine that is hopefully healing my broken foot 
3️⃣ When your 2 refrigerated medications are delivered on the same 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 A completed cross-stitch project, which shows 2 bears walking past a lake, trees, and mountains.
2️⃣ An Exogen machine showing use 13 days in a row
3️⃣ A couple of styrofoam refridgerated containers for medication

#ChronicallyIll #CrossStitch #RheumatoidArthritis #SjogrensSyndrome #IVIG
You guessed it, I'm one of that 25%. ⁣ ⁣ May is Ar You guessed it, I'm one of that 25%. ⁣
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May is Arthritis Awareness Month. Like, comment, and share to spread awareness 💖⁣
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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: Fact or Fiction? Let's Check! ⁣
Fiction⁣
You only have rheumatoid arthritis if your rheumatoid factor tests positive.⁣
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As many as 25% of RA patients test negative, which is called being seronegative.⁣
katethealmostgreat
Things are tough (all over pain, heat with POTS, i Things are tough (all over pain, heat with POTS, in a walking cast waiting to see if I need my 6th foot surgery), but so am I.⁣
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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. She's a white woman with auburn hair wearing a navy-based floral dress, green glasses, and silver Celtic knot necklace.⁣
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#RheumatoidArthritis #POTS #POTSie #AutoimmuneDisease #ChronicallyIll
Week 20 of #2026Weekly 1️⃣ IVIG + Kindle reading Week 20 of #2026Weekly 

1️⃣ IVIG + Kindle reading 
2️⃣ Almost done!!!!!

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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 Infusion tubes coming out from under her shirt. There’s a Kindle on her lap.
2️⃣ An almost-finished cross-stitch project

#IVIG #ChronicallyIll #CrossStitcher #CrossStitchersOfInstagram
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