Two major conflicting rulings on Obamacare

In April, I wrote about a legal challenge to Obamacare in which opponents had argued that the text of the ACA law only allowed state health exchanges to provide subsidies for the health insurance premiums and that the federal government should not have been allowed to provide subsidies through its own exchanges in those states that decided against setting up their own exchanges.
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The Streisand Effect and Obamacare

Despite the debacle of the Obamacare website at its unveiling and the earnest efforts of the Republican party to derail it (anti-Obamacare groups outspent those in favor by a ratio of 15 to 1), the New England Journal of Medicine reports that 20 million people have enrolled in the plan. (The full report can be seen here.) This graphic from the NEJM report shows the different ways that people can sign up.
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What life (and death) is like in Gaza

israel_political_map

It is only 140 square miles and contains 1.8 million people, making it one of the most densely populated places on Earth. It is very small, similar in size and population density to Philadelphia, one of the biggest cities in the US. It is a narrow rectangular strip. The northern, eastern, and western borders are blockaded by Israel and the southern edge by Egypt. It is essentially a large, densely populated open-air ‘prison camp’ (as British prime minister David Cameron described it in 2010), which is why it is cynical when Israel, in its widely-publicized attempts at showing its ‘humanity’ while bombing Palestinians, urges people in northern Gaza to evacuate because they are going to bomb the region. That region alone has 200,000 people. Where are they supposed to go? Unlike the victims of violence in other countries, they cannot flee to a neighboring country. They are trapped and so must stay where they are and hope that they will not be blasted to bits. [Update: The original map has been replaced with new a one that is more accurate. Thanks to the commenters for pointing out the errors.] [Read more…]

The carnage in Gaza intensifies

Mohammed Suliman sends out a stream of tweets from Gaza that provide an insight into the kinds of surreal thoughts that flood your mind when you await what might well be your own death from a missile strike. It is poignant and tragic. It should be read in conjunction with this report (via Pharyngula) about the most recent massacre committed by Israel in which nearly ninety people died in one neighborhood.
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Medicaid expansion rejection bites back

The expansion of Medicaid health benefits to people who were too poor to be eligible for the health insurance subsidies was supposed to be an integral part of the Affordable Care Act. But the US Supreme Court ruled that it was an option that states could choose to accept or reject. And of course two-dozen Republican-dominated states chose to reject it even though it seemed like a no-brainer since the federal government would pick up 100% of the costs in the first three years and about 95% after that, because god-forbid that poor people should get health insurance.
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James Garner (1928-2014)

He died yesterday.

I loved watching James Garner from the time I first saw him in the cowboy TV series Maverick. He was perfect in the role of a wry nattily dressed card player roaming the west and getting into adventures. What made him unusual as a cowboy was that as far as possible he would try to avoid getting into fights (he did not like the idea of getting hurt and besides he did not want to mess up his clothes) and did not want to be a hero and preferred to use his wits to get out of trouble but at the same time his sense of what was right kept getting him involved on behalf of the downtrodden.
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