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Something is missing from this picture.

I'll give you a hint: It's the same thing that was missing from this picture, taken a month earlier.

Photo by Ron Sachs/Getty Images.

In January, President Donald Trump signed an executive order prohibiting any foreign aid organization that performs abortions from receiving federal funds.


No women were there to witness it.

Now Trump is moving forward with plans to make significant changes to America's health care system. And — as Trump's tweet showed — once again, women are nowhere to be seen.

50% of all Americans are women. Much like men, women sometimes get sick and have to go to the doctor. They also face some unique health care challenges — particularly related to the having of babies and the planning of if or when to have them.  

While it's true that none of the health insurance CEOs in the photo Trump tweeted are women and that his Health and Human Services secretary is a man and that all of his top advisers are male, sure, it's certainly possible his administration will involve women in its health care project somewhere along the line.

But given that he hasn't seen fit to include women thus far, the optics sure are fishy.

Not consulting women on health policy decisions leaves women with fewer options and more expensive care.

Before Obamacare prohibited "gender rating" health plans, women on some plans paid up to 80% more in premiums than men — often on the grounds that women's specific health care requirements, like birth control, gynecology, and mammograms, are somehow "extra."

Obamacare's contraception mandate, which requires insurers to cover birth control, is already under fire from conservative lawmakers who want to strike it from law, again on the assumption that such coverage should be considered optional because men don't require it.

Separately, Congress is getting dangerously close to defunding Planned Parenthood, which provides cancer screenings, sexually transmitted infection care, and reproductive health services to millions of women every year. The organization has already issued a warning that our existing infrastructure can't absorb the patients who would be displaced if it's forced to shut down.

This is what happens when the people in charge — who are often men — don't stop to ask women what they need.

Trump, historically, hasn't been all that great at understanding things that are outside his own very specific personal experience.

At a recent press conference, Trump expressed his frustration with the slow pace of Obamacare reform, saying, "Nobody knew health care could be so complicated." While it's true that he probably didn't realize that (after all, as a lifelong rich person, he's probably never had to worry about health care), just about everyone else on planet Earth — right, left, and center — did.

Trump, like most members of Congress and, apparently, health insurance company CEOs, has never been a woman. He's never been pregnant. He's never taken hormonal birth control. He's never had a mammogram or a pap smear. He's probably never bought tampons. The notion that he and a dozen male health honchos can hammer out a plan that's fundamentally fair to women and takes their particular challenges into account without consulting or involving women in the process is dubious at best.

The obvious next step? Trump needs to ask women what they need out of a health care law.

Women! Photo via iStock.

The good news is that there are plenty who are more than qualified to give the president some notes. He could ask any number of the dozens of female Ph.D.s at American universities who study health policy. He could ask Oregon Gov. Kate Brown or Rhode Island Gov. Gina Raimondo, who oversaw successful implementations of the Affordable Care Act in their states.

Health insurer CEOs certainly aren't the be-all-end-all of advice, but if Trump wanted to ask one, he could get even in touch with Karen Ignagni of EmblemHealth.

Getting some women in the room isn't a panacea.

Trump is stubborn, and ultimately Congress is going to be the primary driver of Obamacare repeal and replace anyway. But for a president whose opinion seems to be moved by the last person he spoke to, having some qualified ladies tell him about the need for birth control, safe abortion, and cervical cancer screenings couldn't hurt. And he should want to hear from them!

Heck, even asking Ivanka would be a step forward.

She seems to favor a more gender-balanced approach to decision-making after all.

It might not change his approach.

But dear God. He could at least ask.

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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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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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.

People share experiences with intrusive thoughts.

When I was younger I used to think I was dying or that I would get kidnapped by a random stranger, but I kept it to myself because I thought something was wrong with me. I thought that telling people would confirm this fear, so I kept it inside my entire life until I was an adult and learned it was part of ADHD and other disorders, such as OCD and PTSD. But it doesn't have to be part of a disorder at all—a vast amount of people just have intrusive thoughts, and a Twitter user, Laura Gastón, is trying to normalize them for others.

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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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