Since the Affordable Care Act (ACA) was signed into law, more than 15 million Americans have received some type of health coverage. This open enrollment period alone has seen almost 7 million new sign-ups. Still, there are many more to reach, especially in the Latino community, where one in four remains uninsured.
The federal government was not up for the task of building and overseeing a complicated e-commerce business with a significant data management back-end -- any more than it has ever been up for building the military's fighter jets, running commercial airports, or administering the actual Medicare program.
The harms inflicted by discrimination reveal themselves in our bodies as we age -- as people of color, as poor and low-income people, and as LGBT people. The symptoms manifest as higher rates of high blood pressure, cholesterol, diabetes, heart disease, HIV/AIDS, depression, social isolation and more.