⚠️ THREAD: According to the HHS Dept., appx. 130 MILLION non-elderly Americans have pre-existing conditions which would likely get them either denied coverage or charged so much for coverage they’d be effectively priced out of the market. 1/
Last year, @EmilyG_DC of @amprog broke these out by Congressional District: americanprogress.org/issues/healthc… 2/
I then took that data and recompiled it into individual states infographics: acasignups.net/17/05/14/cap-d… 3/
In light of yesterday’s devastating news that Donald Trump’s Justice Department is now not just failing to do their duty to defend the #ACA but is actively arguing in *favor* of stripping away the #ACA’s pre-existing condition protections, here (again) is that full breakout: 4/
5/ ALABAMA: Appx. 2.0 million residents; I estimate ~123K were on the individual market as of last year.
6/ ALASKA: Appx. 326,000 residents; I estimate ~12,000 were on the individual market as of last year.
ARIZONA: Appx. 2.7 million residents; I estimate ~178,000 were on the individual market as of last year.
ARKANSAS: Appx. 1.18 million residents; I estimate ~69,000 were on the individual market as of last year.
CALIFORNIA: Appx. 16.7 million residents w/pre-existing conditions; I estimate ~1.18 million of them were on the individual market last year.
COLORADO: Appx. 2.35 million residents with pre-existing conditions; I estimate ~161,000 were on the individual market last year.
CONNECTICUT: Appx. 1.54 million residents with pre-existing conditions; I estimate ~88,000 were on the individual market last year.
DELAWARE: Appx. 389,000 residents with pre-existing conditions; I estimate ~18,000 were on the individual market last year.
DISTRICT OF COLUMBIA: Appx. 291,000 residents with pre-existing conditions; I estimate ~12,000 were on the individual market last year.
FLORIDA: Appx. 7.8 million residents with pre-existing conditions; I estimate ~991,000 were on the individual market last year.
GEORGIA: Appx. 4.3 million residents with pre-existing conditions; I estimate ~310,000 were on the individual market last year.
HAWAII: Appx. 593,000 residents with pre-existing conditions; I estimate ~22,000 were on the individual market last year.
IDAHO: Appx. 673,000 residents with pre-existing conditions; I estimate ~67,000 were on the individual market last year.
ILLINOIS: Appx. 5.47 million residents with pre-existing conditions; I estimate ~327,000 were on the individual market last year.
INDIANA: Appx. 2.75 million residents with pre-existing conditions; I estimate ~117,000 were on the individual market last year.
IOWA: Appx. 1.29 million residents with pre-existing conditions; I estimate ~91,000 were on the individual market last year.
KANSAS: Appx. 1.2 million residents with pre-existing conditions; I estimate ~84,000 were on the individual market last year.
KENTUCKY: Appx. 1.8 million residents with pre-existing conditions; I estimate ~66,000 were on the individual market last year.
LOUISIANA: Appx. 1.92 million residents with pre-existing conditions; I estimate ~118,000 were on the individual market last year.
MAINE: Appx. 548,000 residents with pre-existing conditions; I estimate ~43,000 were on the individual market last year.
MARYLAND: Appx. 2.58 million residents with pre-existing conditions; I estimate ~145,000 were on the individual market last year.
MASSACHUSETTS: Appx. 2.9 million residents with pre-existing conditions; I estimate ~152,000 were on the individual market last year.
27/ MICHIGAN: Appx. 4.1 million residents with pre-existing conditions; I estimate ~226,000 were on the individual market last year.
28/ MINNESOTA: Appx. 2.33 million residents with pre-existing conditions; I estimate ~137,000 were on the individual market last year.
29/ MISSISSIPPI: Appx. 1.2 million residents with pre-existing conditions; I estimate ~70,000 were on the individual market last year.
30/ MISSOURI: Appx. 2.5 million residents with pre-existing conditions; I estimate ~185,000 were on the individual market last year.
31/ MONTANA: Appx. 425,000 residents with pre-existing conditions; I estimate ~37,000 were on the individual market last year.
32/ NEBRASKA: Appx. 783,000 residents with pre-existing conditions; I estimate ~71000 were on the individual market last year.
33/ NEVADA: Appx. 1.2 million residents with pre-existing conditions; I estimate ~71,000 were on the individual market last year.
34/ NEW HAMPSHIRE: Appx. 572,000 residents with pre-existing conditions; I estimate ~33,000 were on the individual market last year.
35/ NEW JERSEY: Appx. 3.85 million residents with pre-existing conditions; I estimate ~183,000 were on the individual market last year.
36/ NEW MEXICO: Appx. 843,000 residents with pre-existing conditions; I estimate ~38,000 were on the individual market last year.
37/ NEW YORK: Appx. 8.4 million residents with pre-existing conditions; I estimate ~521,000 were on the individual market last year.
38/ NORTH CAROLINA: Appx. 3.93 million residents with pre-existing conditions; I estimate ~342,000 were on the individual market last year.
39/ NORTH DAKOTA: Appx. 316,000 residents with pre-existing conditions; I estimate ~15,000 were on the individual market last year.
40/ OHIO: Appx. 4.83 million residents with pre-existing conditions; I estimate ~200,000 were on the individual market last year.
41/ OKLAHOMA: Appx. 1.58 million residents with pre-existing conditions; I estimate ~99,000 were on the individual market last year.
42/ OREGON: Appx. 1.68 million residents with pre-existing conditions; I estimate ~85,000 were on the individual market last year.
43/ PENNSYLVANIA: Appx. 5.33 million residents with pre-existing conditions; I estimate ~307,000 were on the individual market last year.
44/ RHODE ISLAND: Appx. 443,000 residents with pre-existing conditions; I estimate ~18,000 were on the individual market last year.
45/ SOUTH CAROLINA: Appx. 2.0 million residents with pre-existing conditions; I estimate ~140,000 were on the individual market last year.
46/ SOUTH DAKOTA: Appx. 352,000 residents with pre-existing conditions; I estimate ~20,000 were on the individual market last year.
47/ TENNESSEE: Appx. 2.72 million residents with pre-existing conditions; I estimate ~192,000 were on the individual market last year.
48/ TEXAS: Appx. 11.58 million residents with pre-existing conditions; I estimate ~775,000 were on the individual market last year.
49/ UTAH: Appx. 1.22 million residents with pre-existing conditions; I estimate ~124,000 were on the individual market last year.
50/ VERMONT: Appx. 263,000 residents with pre-existing conditions; I estimate ~22,000 were on the individual market last year.
51/ VIRGINIA: Appx. 3.44 million residents with pre-existing conditions; I estimate ~260,000 were on the individual market last year.
52/ WASHINGTON: Appx. 3.03 million residents with pre-existing conditions; I estimate ~158,000 were on the individual market last year.
53/ WEST VIRGINIA: Appx. 738,000 residents with pre-existing conditions; I estimate ~22,000 were on the individual market last year.
54/ WISCONSIN: Appx. 2.43 million residents with pre-existing conditions; I estimate ~143,000 were on the individual market last year.
55/ WYOMING: Appx. 248,000 residents with pre-existing conditions; I estimate ~17,000 were on the individual market last year.
56/ IMPORTANT NOTE: These are all from over a year ago, so about a half-dozen of the Congressional Districts have someone new in them (MT-AL, SC-05, PA-07, etc). Also note that the numbers may have shifted since then (but they’re estimates to begin with anyway).
57/ Finally, at the risk of being accused of trying to “exploit” this crisis: I largely rely on individual donors to continue my work at ACASignups.net. If you find it of value & are in a position to do so, please consider supporting it, thanks!
Oh, by the way, here’s a PARTIAL list of what insurance carriers considered a “pre-existing condition” prior to the #ACA, although the reality is, it’s basically “whatever the hell the insurance carrier decides it is.”: cnn.com/2017/05/05/hea…
Also, here (again) is a video which explains the basics of WHY the #ACA was structured the way it was, with a whole section on pre-existing conditions and the individual mandate:
And while I’m at it, here’s Part One of my Risk Pool explainer…
…and here’s Part Two, which goes into the impact on premiums/enrollment of *repealing* the individual mandate (as well as #ShortAssPlans):
58/ By the way, here’s a PARTIAL list of “pre-existing conditions” prior to the #ACA which carriers could use to deny you coverage (although it was really “whatever the hell they decided” in practice): cnn.com/2017/05/05/hea…
59/ Also, here’s a video explaining the basic structure of the #ACA, including WHY the Individual Mandate was added in the first place… (it’s 17 minutes long but bear with me):
60/ Here’s Part One of my Risk Pool explainer (basic idea of how they work and why “High Risk Pools” suck):
61/ …and here’s Part Two, which explains what *repeal* of the #ACA’s individual mandate will likely do to enrollment and premiums next year:

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More from @charles_gaba

Aug 27, 2018
⚠️ GRAPHICS-HEAVY THREAD: Next week, the #TexasFoldEm lawsuit brought by 20 Republican Attorneys General against the #ACA goes to court. The Trump Administration is refusing to defend against it even though it EVERY legal expert says it’s a pile of steaming garbage. 1/
2/ If the #TexasFoldEm plaintiffs succeed, federal protections for those w/#PreExistingConditions would be gone. Not just on the individual market…people w/EMPLOYER coverage would be at risk as well, especially since most people are out of a job at least once in their lives.
3/ Here’s a reminder of the idiotic “argument” the #TexasFoldEm plaintiffs are using:
1. SCOTUS ruled the #ACA mandate is only Constitutional because it’s a tax.
2. The GOP repealed the mandate tax.
3. Therefore, they get to repeal the rest of the #ACA as well.
Really. That’s it.
Read 67 tweets
Aug 21, 2018
THREAD: For those who still don’t understand how important the #ACA #TexasFoldEm case is (along #StopKavanaugh), here’s a simple timeline of the ACA’s 3-Legged Stool:
1/ Here’s how the #ACA’s 3-Legged Stool was *supposed* to work when the law was passed. The blue leg includes the patient protections. The red leg is the part everyone hated but which served an important purpose. The green leg is the financial help for people to pay for it.
2/ This is what it ACTUALLY ended up looking like: There were two main problems. The financial assistance was cut off at 400% FPL income (& wasn’t generous enough), and the mandate penalty wasn’t strong enough to be fully effective. Both were EASILY fixable.
Read 13 tweets
Aug 13, 2018
THREAD FOR EVERYONE OVER 40 YEARS OLD:

Do you remember “Harry & Louise”?

Here’s a reminder. Watch both commercials, but especially the second one. There’s a LOT going on here:

2/ First of all, notice how in 1993, “community rating” (i.e., not being allowed to charge people more based on their health status) was considered a HORRIBLE thing.
3/ Cut to 2018: 8 yrs after the Affordable Care Act was signed into law, 89% of the public thinks it’s important NOT to charge people more for their health insurance based on their health status. EIGHTY-NINE PERCENT. This is the real legacy of the #ACA.

kff.org/health-costs/p…
Read 19 tweets
Aug 10, 2018
ATTENTION MICHIGAN RESIDENTS: I’m trying to track down the Twitter handles for the following 2018 Democratic nominees; please help if you can, thanks!

HD001: Tenisha Yancey
HD003: Wendell Byrd
HD004: Isaac Robinson
HD005: Cynthia A. Johnson
HD006: Tyrone Carter
HD012: Alex Garza
HD013: Frank Liberati
HD014: Cara Clemente
HD016: Kevin Coleman
HD022: John Chirkun
HD024: Laura Winn
HD025: Nate Shannon
HD028: Lori M. Stone
HD030: John P. Spica
HD031: William J. Sowerby
HD032: Paul Manley
HD036: Robert Murphy
HD045: Kyle Cooper
HD048: Sheryl Y. Kennedy
HD049: John D. Cherry
(yes, THAT John Cherry…he doesn’t seem to be on Twitter?)
HD050: Tim Sneller
HD051: David E. Lossing
HD054: Ronnie D. Peterson
HD056: Ernie Whiteside
HD057: Amber Pedersen
HD058: Tamara C. Barnes
HD059: Dennis B. Smith
HD063: Jennifer Aniano
Read 5 tweets
Aug 10, 2018
THREAD: Yeah, I have insomnia, so here’s some wonky info re. single payer, M4A and the Michigan Gubernatorial primary. 1/
2/ Now that the #MIGov primary is over, since the most contentious debate between El-Sayed and Whitmer (besides 'dark money') was about single-payer healthcare, let's get a few things straight:
3/ 1. "Single Payer" refers to any healthcare system where the gov’t is the payment source for healthcare providers (doctors/hospitals/drug cos/etc).
Read 44 tweets
Aug 8, 2018
🚨🚨🚨
GRAPHICS-HEAVY THREAD WARNING!
How Much More Will #ACASabotage Cost Unsubsidized Enrollees in YOUR Congressional District???
1/ Last year, I posted state-by-state infographics which broke out the estimated number of Americans who would lose healthcare coverage if each of the various #ACA repeal bills form the GOP were to become law.
2/ At first I used my own estimates, but then @EmilyG_DC and her colleagues from the Center for American Progress (@amprog) stepped up and started compiling their own projections. Their methodology was different but our estimates were generally in the same range.
Read 67 tweets

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