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If you've always had employer healthcare, you have no idea how vital the ACA is
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I got married and started working in my early 20s, and for more than two decades I always had employer-provided health insurance. When the Affordable Care Act (ACA, aka "Obamacare")was passed, I didn't give it a whole lot of thought. I was glad it helped others, but I just assumed my husband or I would always be employed and wouldn't need it.

Then, last summer, we found ourselves in an unexpected scenario. I was working as a freelance writer with regular contract work and my husband left his job to manage our short-term rentals and do part-time contracting work. We both had incomes, but for the first time, no employer-provided insurance. His previous employer offered COBRA coverage, of course, but it was crazy expensive. It made far more sense to go straight to the ACA Marketplace, since that's what we'd have done once COBRA ran out anyway.

The process of getting our ACA healthcare plan set up was a nightmare, but I'm so very thankful for it.

Let me start by saying I live in a state that is friendly to the ACA and that adopted and implemented the Medicaid expansion. I am also a college-educated and a native English speaker with plenty of adult paperwork experience. But the process of getting set up on my state's marketplace was the most confusing, frustrating experience I've ever had signing up for anything, ever.


Most of the problems stemmed from proving our income, which was confusing to report and hard to show accurately. I lost track of how many letters I got saying they needed more or different information. When I'd call the help number, the person on the other end always told me something different. It took nearly two months of back and forth, with dozens upon dozens of letters, phone calls, and website chats, to finally get my family set up with a healthcare plan.

During the two months, we weren't covered under any insurance, I was terrified of something happening. We are a very health-conscious family and we take good care of ourselves, but what if one of us broke a bone? What if one of us had a freak medical event or needed an emergency surgery? What if we got into a car accident and had to be hospitalized? The list of possible scenarios, minor to major, constantly ran through my mind.

During the time we weren't covered, I was keenly aware of three things: 1) All it would take was one big accident or diagnosis to wipe us out financially, 2) People in other developed nations never feel this fear, and 3) Prior to the ACA, far more Americans felt this fear all the time.

Once we were finally able to work out the necessary paperwork, it was fine. Our income at the time meant our premiums were low, and our coverage was comparable to what we had with my husband's employer. I ended up getting hired on full-time with benefits a few months later, so our experience with Obamacare was relatively short-lived. But I can't imagine the financial stress of trying to afford health insurance or worrying about paying for healthcare out of pocket without insurance—fears that millions of Americans lived with pre-ACA.

And we didn't even have any pre-existing conditions that would have kept us from being able to get insurance prior to the ACA. Adding that factor in drives home how important that legislation truly is.

At the same time, as thankful as I am that we had an affordable healthcare option, I couldn't help thinking about friends I have who live in other countries who never have to worry about any of this stuff. No complicated paperwork or bureaucracy to deal with. No waiting for bills to arrive in the mail after a doctor's appointment to see what you owe beyond your co-pay. No calling the insurance company to figure out why something that seems like it should have been covered wasn't covered.

The amount of of time, energy, agony, and stress Americans have to put into managing healthcare is absurd when compared to other highly developed nations, and even most less developed ones. We're so accustomed to this garbage, I don't think most people recognize that it doesn't have to be like this.

The ACA was a step in the right direction and a necessary lifeboat for those who previously couldn't get or couldn't afford to get health insurance. But it's not universal healthcare, which is quite frankly the bare minimum of what a society should expect from its government. The fact that the idea has somehow been spun into something radical or impossible when basically every other developed country has figured out how to do it, we spend more on healthcare than anyone else per capita already, and our health outcomes trail so badly behind other developed nations is completely baffling.

My experience with the ACA drove home to me why it's a vital piece of legislation to protect, but also highlighted the desperate need for universal healthcare. It's far past time for us to take that next step.

Photo courtesy of Girls at Work

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Girls are bombarded with messages from a very young age telling them that they can’t, that is too big, this is too heavy, those are too much.

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via Lewis Speaks Sr. / Facebook

This article originally appeared on 02.25.21


Middle school has to be the most insecure time in a person's life. Kids in their early teens are incredibly cruel and will make fun of each other for not having the right shoes, listening to the right music, or having the right hairstyle.

As if the social pressure wasn't enough, a child that age has to deal with the intensely awkward psychological and biological changes of puberty at the same time.

Jason Smith, the principal of Stonybrook Intermediate and Middle School in Warren Township, Indiana, had a young student sent to his office recently, and his ability to understand his feelings made all the difference.

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All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

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Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

melanoma,  melanoma for dark skin Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

american cancer society, skin cacner treatment"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

via Pixabay

The show must go on… and more power to her.

There are few things that feel more awful than being stranded at the altar by your spouse-to-be. That’s why people are cheering on Kayley Stead, 27, from the U.K. for turning a day of extreme disappointment into a party for her friends, family and most importantly, herself.

According to a report in The Metro, on Thursday, September 15, Stead woke up in an Airbnb with her bridemaids, having no idea that her fiance, Kallum Norton, 24, had run off early that morning. The word got to Stead’s bridesmaids at around 7 a.m. the day of the wedding.

“[A groomsman] called one of the maids of honor to explain that the groom had ‘gone.’ We were told he had left the caravan they were staying at in Oxwich Bay (the venue) at 12:30 a.m. to visit his family, who were staying in another caravan nearby and hadn’t returned. When they woke in the morning, he was not there and his car had gone,” Jordie Cullen wrote on a GoFundMe page.

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Pop Culture

14 things that will remain fun no matter how old you get

Your inner child will thank you for doing at least one of these.

Photo by Annie Spratt on Unsplash

Swings can turn 80-year-olds into 8-year-olds in less that two seconds.

When we’re kids, fun comes so easily. You have coloring books and team sports and daily recess … so many opportunities to laugh, play and explore. As we get older, these activities get replaced by routine and responsibility (and yes, at times, survival). Adulthood, yuck.

Many of us want to have more fun, but making time for it still doesn’t come as easily as it did when we were kids—whether that’s because of guilt, a long list of other priorities or because we don’t feel it’s an age-appropriate thing to long for.

Luckily, we’ve come to realize that fun isn’t just a luxury of childhood, but really a vital aspect of living well—like reducing stress, balancing hormone levels and even improving relationships.

More and more people of all ages are letting their inner kids out to play, and the feelings are delightfully infectious.

You might be wanting to instill a little more childlike wonder into your own life, and not sure where to start. Never fear, the internet is here. Reddit user SetsunaSaigami asked people, “What always remains fun no matter how old you get?” People’s (surprisingly profound) answers were great reminders that no matter how complex our lives become, simple joy will always be important.

Here are 14 timeless pleasures to make you feel like a kid again:

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