Rural America, already hurting, could be most harmed by Trumps promise to repeal Obamacare

[Jimbo101]

https://theconversation.com/rural-america-already-hurting-could-be-most-harmed-by-trumps-promise-to-repeal-obamacare-71453

The health of rural America is failing, and a repeal of the Affordable Care Act (ACA) without adequate replacement could prove disastrous. A December, 2016 report from the Centers for Disease Control and Prevention showed that for the first time in 20 years, life expectancy in the United States has declined, particularly in small cities and rural areas, where people are dying at much higher rates. This shocking trend is driven in part by increasing mortality rates for white, working-class Americans, many of whom live in rural America.

There is no better indicator of well-being than life expectancy, and reversals like this are unusual for wealthy nations where successive generations increase in longevity. This has remained true for vulnerable, minority populations in America, as blacks and Hispanics continue to make gains in life expectancy even while experiencing significant health disparities.

This drop in life expectancy in rural areas is linked to higher rates of chronic illness, obesity, drug overdose, alcoholism, mental illness and suicide. Death rates are most notable for rural white women, who are now much more likely than their grandmothers to suffer from obesity, smoking and alcoholism. Rising rates of opioid addiction have resulted in an increase in drug dependency in newborns born to rural mothers. Further, dwindling industry in these communities limits access to both employment and to health care.

Taken as a whole, Medicaid expansion through the ACA has resulted in critical gains toward improving rural population health by expanding insurance coverage and stabilizing rural hospitals.

The repeal of Medicaid expansion and collapse of the individual insurance market, which could occur as part of repeal of the ACA, could threaten strides the country has made in advancing the health of rural America.

[louis-t]

1. And guess what will happen when Il Douche destroys the Post Office?

The cost of shipping and mailing will go up in rural areas.

[Else You Are Mad]

2. He can't fully destroy the post office.

As per the constitution, there must be a federal postal system.

[louis-t]

3. I don't think the Constitution says there MUST be

a Post Office, it only allows for it. Besides, even if it did, that wouldn't stop the American Nazi P--- I mean the repuglicans.

[get the red out]

4. Hard to maintain empathy

For people who voted for Trump and could be harmed because they got their man in the Whitehouse.

[hatrack]

5. They voted for the Tee-Vee Guy, 'cuz they loves Jeebus and Freedumb

"Who's that, honey?"

"A Mr. Piper - something about getting paid."

[JI7]

6. They will blame non white people