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Texas has the most people without health insurance in the nation — again

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The rate of Texans without health insurance rose for the second year in a row, making it once again the most uninsured state in the nation, according to data released Tuesday by the U.S. Census Bureau.

In 2018, 17.7% of Texas residents — about 5 million people — had no health coverage, up from 17.3% in 2017. Both years, Texas had almost double the number of uninsured people compared with the national average of 8.7% in 2017 and 8.9% in 2018. It was one of only nine states to record an increase in the uninsured rate.

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Texas is one of 14 states that have not expanded Medicaid, a joint state-federal program that provides health care to low-income individuals, since the 2010 passage of the Affordable Care Act — better known as Obamacare. President Donald Trump made the repeal and replacement of Obamacare a major part of his 2016 campaign, but the U.S. Senate narrowly rejected a bill in 2017 that would have repealed parts of the ACA.

Last year, a federal judge in Texas invalidated a Medicaid expansion that would have filled coverage gaps for an estimated 1.1 million low-income Texans, according to the Kaiser Family Foundation. Between 2017 and 2018, fewer Texans got their insurance through Medicaid — the number dropped 0.7%, to 17.9%.

Some Texas political leaders, including Gov. Greg Abbott, Lt. Gov. Dan Patrick and former Gov. Rick Perry, have argued that expanding Medicaid would increase health care costs for the state, especially if the federal government doesn’t keep its promise to pay for the increase in newly eligible people.

Others, like state Sen. Carol Alvarado, D-Houston, are in favor of the expansion. In 2018, the senator filled a bill that would allow county commissioners to request a federal waiver to expand Medicaid in their jurisdictions and roll out the expansion county by county. The bill didn’t even get a hearing during this year’s legislative session.

Five other states — Alaska, Florida, Georgia, Mississippi and Oklahoma — also had more than 12% of their population uninsured, according to the Census figures.

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BY STACY FERNÁNDEZ

 

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2020 Election

Trump’s latest national security adviser is undercutting FBI Director Wray to quash report of new Russian meddling: report

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In a scorching column for the Daily Beast, historian David Rothkopf accused Donald Trump's latest national security director, Robert O'Brien, of undercutting the United States intelligence services and uses his comments about recent reports of new Russian election meddling to make the case that he is contradicting FBI Director Christopher Wray to please the president.

According to Rothkopf, "For just over a century, since America arrived as a major force on the global stage, we have feared that should our enemies defeat us, it would be on the battlefield or via a devastating nuclear onslaught. We never could have imagined that an enemy might take another approach altogether: infecting us with a presidential virus who this week gutted our national security leadership structures like a fish."

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Decoding the Christian paradox: Evangelical historian explains how right-wingers ignore Jesus to support a corrupt and greedy president

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To quote the bumper sticker: "What would Jesus do?"

Assuming that he existed and held the views imputed to him, Jesus Christ would not support Donald Trump.

Donald Trump's behavior, values, policies and their consequences are the opposite of what Jesus Christ represented. Trump has put migrants and refugees in cages and delighted in their suffering. He feels contempt for the poor, the sick, the vulnerable and the needy. He has lied at least 16,000 times. He is corrupt and wildly greedy.

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America could be on the verge of a huge shift to the left — here’s what you can expect

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A new socialist movement is cohering in the US, thanks in large part to the popular class politics of Bernie Sanders. But as that movement grows and progresses, it is bound to run into dangerous obstacles and thorny contradictions. The new US socialist movement is without a single "line" or monolithic political position. That's a strength of the movement, since none of us has all the answers. Still, many people in the movement, ourselves included, feel strongly about certain approaches to strategy. One approach we feel strongly about is what we call "the democratic road to socialism," or the idea that we need to make good use of the democratic structures and processes available to us (and to improve and expand them) in order to advance our cause.A country like the United States has both a well-developed capitalist state, beholden to the capitalist class and armed to the teeth, and mechanisms for democratic participation in that state that allow people to exercise some measure of control over their representatives. Even though their choices are limited, their representatives are bought off by the rich, and the capitalist class holds the entire system hostage with the threat of devastating economic retaliation if things don't go their way, the system does have some basic democratic elements that its citizens largely affirm and occasionally participate in.This is a tricky situation to navigate. If the democratic capitalist state were less developed, it might be possible to convince people to simply storm the gates, tear up the old rules, and start fresh in a socialist society. This is what socialists tried to do in Russia in 1917: the state was weak and after centuries of autocratic rule it didn't have much legitimacy in the eyes of most Russians, so revolutionaries could get popular support for scrapping it and starting over.
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