The American Health Care Act, Act 2

It’s time to raise your voice.

When the House of Representatives failed to pass the American Health Care Act in March, we thought they would move on to other things. They had already faced the wrath of their constituents in town halls across the country, defending themselves against charges that they were taking people’s health care away.

But a promise is a promise, and the Republicans had promised their voters they would get rid of Obamacare. So they began to negotiate — only instead of negotiating with the moderates in their party and perhaps some Democrats, they chose to work with the tea party faction, who now call themselves, without irony, the Freedom Caucus — which had disparaged the original AHCA as “Obamacare-lite.” If the angry constituents packing town halls to capacity thought the first iteration of the AHCA was too extreme, what on earth made House Republicans think a Freedom Caucus makeover would produce a bill that would inspire less animosity than the first?


We must insist that our representatives remember that health care is a matter of life and death.


So Tom MacArthur, a supposedly moderate Republican who makes Ronald Reagan look liberal, and Mark Meadows, the Freedom Caucus leader who makes Reagan look like a full-blown socialist, hammered out a deal. The tea party objection to the AHCA was that it didn’t get rid of the ACA’s regulations on insurance companies — such as barring insurers from charging more money to women, older patients, or patients with preexisting conditions, or requiring them to cover essential services like preventive health care without cost to patients, emergency services, prescription drugs, and prenatal care. MacArthur and Meadows’ supposed compromise allows states to apply for waivers to opt out of these essential services, or to allow higher rates for those with preexisting conditions if they set up “high-risk pools.” MacArthur’s constituents were not pleased. Continue reading

What’s in a Name: Repealing the Affordable Care Act

Supporters drop off petitions and rally at Rep. Martha McSally’s Tucson office, March 15, 2017

As this post goes to press, word has come that Speaker Paul Ryan has pulled the American Health Care Act, being unable to muster enough votes to pass it. So we have escaped that disaster, and it appears no attempt to repeal the Affordable Care Act will proceed in the near future. But the fight is not over. Aspects of this bill will come up in other forms and we will have to be vigilant. But this is a victory for activism, so many thanks to all of you who made phone calls, demonstrated, told your stories, and reminded the Republicans that destroying something is not the same as governing.

So as you read this, realize what we have escaped, and what we need to watch out for as we proceed.


People were going to die. But the free market would have triumphed.


Republicans called it Obamacare, and used that name as a slur to run against President Obama in 2012. It didn’t win that race for them, but there are enough people in this country for whom the name Obama is enough to damn a program. One woman, whose son lost his job and had his monthly insurance premium fall from $567 to $88, attributes that decrease to the tax credits in Trump and Ryan’s new American Health Care Act. You know, the bill that never passed. In actuality, her son became eligible for a subsidy under Obamacare — the Affordable Care Act — which is still the law.

Paul Ryan and his cronies in the House of Representatives hated the Affordable Care Act before it was written. They hated it even more when it passed and more than that when it was implemented.

What did they hate about it? Continue reading

World AIDS Day: The Affordable Care Act Can Help in Creating the Healthiest Generation Ever

HIV_stopEditor’s Note: The following piece is a guest blog post from Planned Parenthood Arizona President and CEO Bryan Howard.

Yesterday was World AIDS Day and this year, as we work to raise awareness around HIV and gather support for those who are living with HIV/AIDS, we should also take a moment to recognize the profound impact that the Affordable Care Act will have on prevention, detection, and treatment of HIV/AIDS.


One in 5 people with HIV is unaware of his or her infection.


With the Affordable Care Act, 1.1 million Americans living with HIV will no longer be denied health insurance coverage because HIV is a “pre-existing condition.” More people living with HIV/AIDS will have access to affordable health insurance coverage to get the care they need, and millions of Americans will have access to preventive health care services that include HIV testing without a co-pay.

There is no doubt that we have come a long way in the fight against HIV/AIDS, especially given the advances of the ACA, yet the epidemic continues to affect millions of people throughout the world with some communities impacted more than others. In the United States, more than 56,000 people become infected with HIV each year. About one-third of new HIV cases are in young people, ages 13 to 29.

According to the Arizona Department of Health Services, there are more than 15,000 Arizonans living with HIV/AIDS with some of the highest rates in Maricopa and Pima counties.

As the largest nonprofit sexual health care provider in Arizona, Planned Parenthood is committed to reducing the impact of the HIV/AIDS epidemic by providing nonjudgmental, comprehensive, high-quality reproductive health care to all women, men, and young people.

Planned Parenthood Arizona has health centers throughout Arizona that provide a range of health care services, including HIV testing, STD testing and treatment, cancer screenings, birth control, vaccinations, and primary care. We also serve as an expert resource in medically accurate sexuality education.

As a trusted health care provider and sexual health educator, we strive to educate women, men, and young people about how to prevent HIV and other STDs. In addition to diligent condom use and regular STD screening, practicing abstinence and having one partner who has no other intimate partners can also help to reduce the risk of getting an STD (including HIV).

So, today I ask you to join Planned Parenthood in fighting for the healthiest generation ever.

About Bryan Howard: Bryan Howard is president and CEO of Planned Parenthood Arizona and a board member at Reproductive Health Technology Project, a Washington, D.C.-based research organization.