#lower health insurance costs

[dontmeantobepoliticalbut]

President Joe Biden will call for expanding a new cap on insulin prices to all Americans as part of his State of the Union address, the White House said Monday.

During the Tuesday speech, Biden plans to tout his administration’s efforts to make health care more affordable, which included imposing a $35-per-month limit on insulin that took effect in January.

But that price cap, which was passed as part of last year’s Inflation Reduction Act, only applied to those beneficiaries covered by Medicare. Biden is now expected to renew his push for the policy to be applied to anyone with an insulin prescription, the White House said in a fact sheet.

“The President will call on Congress to extend this commonsense, life-saving protection to all Americans,” the fact sheet said.

Democrats had originally planned to pass a universal insulin price cap last year as part of the Inflation Reduction Act, which was passed along party lines last August. But the policy was scaled back after Republicans successfully challenged its inclusion. Democrats since then have vowed to continue to push for its passage, arguing that it’s broadly popular and crucial to ensuring that people can afford essential medicines.

Still, Biden’s fresh support for expanding the price cap is unlikely to result in much concrete progress. Republicans remain opposed to the measure, and are unlikely to even allow a vote on it in the House now that they control the chamber.

Biden during his State of the Union speech is also expected to highlight a handful of other health care accomplishments, including landmark legislation granting Medicare the right to negotiate drug prices and cap certain out-of-pocket pharmacy costs. He will celebrate the three latest states to expand their Medicaid programs, while urging Congress to pass legislation that would close coverage gaps in the 11 holdout states that have yet to expand Medicaid.

The President also plans to call for continuing to lower health insurance costs, pointing to expanded Obamacare subsidies that the administration estimates lowered customers’ premiums by an average of $800 per year and pushed the nation’s uninsured rate to an all-time low.

[vydumaj]

both my mom and my sister really need to contact hospitals rn and it’s stressing me outttt

[boreal-sea]

Look.

I have made you a chart. A very simple chart.

People say "You have to draw the line somewhere, and Biden has crossed it-" and my response is "Trump has crossed way more lines than Biden".

These categories are based off of actual policy enacted by both of these men while they were in office.

If the ONLY LINE YOU CARE ABOUT is line 12, you have an incredible amount of privilege, AND YOU DO NOT CARE ABOUT PALESTINIANS. You obviously have nothing to fear from a Trump presidency, and you do not give a fuck if a ceasefire actually occurs. You are obviously fine if your queer, disabled, and marginalized loved ones are hurt. You clearly don't care about the status of American democracy, which Trump has openly stated he plans to destroy on day 1 he is in office.

EDIT:

Ok fine, I spent 3 hours compiling sources for all of these, you can find that below the cut.

I'll give at least one link per subject area. There are of course many more sources to be read on these subject areas and no post could possibly give someone a full education on these subjects.

Biden and trans rights: https://www.hrc.org/resources/president-bidens-pro-lgbtq-timeline

Trump and trans rights: https://www.aclu.org/news/lgbtq-rights/trump-on-lgbtq-rights-rolling-back-protections-and-criminalizing-gender-nonconformity

The two sources above show how Biden has done a lot of work to promote trans rights, and how Trump did a lot of work to hurt trans rights.

Biden on abortion access: https://www.cnn.com/2022/07/08/politics/what-is-in-biden-abortion-executive-order/index.html

Trump on abortion access: https://apnews.com/article/abortion-trump-republican-presidential-election-2024-585faf025a1416d13d2fbc23da8d8637

Biden openly supports access to abortion and has taken steps to protect those rights at a federal level even after Roe v Wade was overturned. Trump, on the other hand, was the man who appointed the judges who helped overturn Roe v Wade and he openly brags about how proud he is of that decision. He also states that he believes individual states should have the final say in whether or not abortion is legal, and that he trusts them to "do the right thing", meaning he supports stronger abortion bans.

Biden on environmental reform: https://www.whitehouse.gov/briefing-room/statements-releases/2021/10/07/fact-sheet-president-biden-restores-protections-for-three-national-monuments-and-renews-american-leadership-to-steward-lands-waters-and-cultural-resources/

Trump on environmental reform: https://www.nytimes.com/interactive/2020/climate/trump-environment-rollbacks-list.html

Biden has made major steps forward for environmental reform. He has restored protections that Trump rolled back. He has enacted many executive orders and more to promote environmental protections, including rejoining the Paris Accords, which Trump withdrew the USA from. Trump is also well known for spreading conspiracy theories and lies about global climate change, calling it a "Chinese hoax".

Biden on healthcare and prescription reform: https://www.hhs.gov/about/news/2023/06/09/biden-administration-announces-savings-43-prescription-drugs-part-cost-saving-measures-president-bidens-inflation-reduction-act.html

Trump on healthcare reform: https://www.cnn.com/2024/01/07/politics/obamacare-health-insurance-ending-trump/index.html

I'm rolling healthcare and prescriptions and vaccines and public health all into one category here since they are related. Biden has lowered drug costs, expanded access to medicaid, and ACA enrollment has risen during his presidency. He has also made it so medical debt no longer applies to a person's credit score. He signed many executive orders during his first few weeks in office in order to get a handle on Trump's grievous mishandling of the COVID pandemic. Trump also wants to end the ACA. Trump is well known for refusing to wear a mask during the pandemic, encouraging the use of hydroxylchloroquine to "treat" COVID, and being openly anti-vaxx.

Biden on student loan forgiveness: https://www.ed.gov/news/press-releases/biden-harris-administration-announces-additional-77-billion-approved-student-debt-relief-160000-borrowers

Trump on student loan forgiveness: https://www.forbes.com/sites/adamminsky/2024/06/20/trump-knocks-bidens-vile-student-loan-forgiveness-plans-suggests-reversal/

Trump wants to reverse the student loan forgiveness plans Biden has enacted. Biden has already forgiven billions of dollars in loans and continues to work towards forgiving more.

Infrastructure funding:

I'm putting these links next together because they are all about infrastructure.

In general, Trump's "achievements" for infrastructure were to destroy environmental protections to speed up projects. Many of his plans were ineffective due to the fact that he did not clearly outline where the money was going to come from, and he was unwilling to raise taxes to pay for the projects. He was unable (and unwilling) to pass a bipartisan infrastructure bill during his 4 years in office. He did sign a few disaster relief bills. He did not enthusiastically promote renewable energy infrastructure. He created "Infrastructure Weeks" that the federal government then failed to fund. Trump did not do nothing for infrastructure, but his no-tax stance and his dislike for renewable energy means the contributions he made to American infrastructure were not as much as he claimed they were, nor as much as they could have been. Basically, he made a lot of promises, and delivered on very few of them. He is not "against" infrastructure, but he's certainly against funding it.

Biden was able to pass that bipartisan bill after taking office. The Bipartisan Infrastructure Plan that Trump tried to prevent from passing during Biden's term contains concrete funding sources and step by step plans to rebuild America's infrastructure. If you want to read the plan, you can find it here: https://www.whitehouse.gov/build/guidebook/. Biden has done far more for American infrastructure than Trump did, most notably by actually getting the bipartisan bill through congress.

Biden on Racial Equity: https://www.npr.org/sections/president-biden-takes-office/2021/01/26/960725707/biden-aims-to-advance-racial-equity-with-executive-actions

Trump on Racial Equity: https://www.axios.com/2024/04/01/trump-reverse-racism-civil-rights https://www.bbc.com/news/av/world-us-canada-37230916

Trump's racist policies are loud and clear for everyone to hear. We all heard him call Mexicans "Drug dealers, criminals, rapists". We all watched as he enacted travel bans on people from majority-Muslim nations. Biden, on the other hand, has done quite a lot during his term to attempt to reconcile racism in this country, including reversing Trump's "Muslim ban" the first day he was in office.

Biden on DEI: https://www.whitehouse.gov/briefing-room/presidential-actions/2021/06/25/executive-order-on-diversity-equity-inclusion-and-accessibility-in-the-federal-workforce/

Trump on DEI: https://www.msn.com/en-us/news/politics/trump-tried-to-crush-the-dei-revolution-heres-how-he-might-finish-the-job/ar-BB1jg3gz

Biden supports DEI and has signed executive orders and passed laws that support DEI on the federal level. Trump absolutely hates DEI and wants to eradicate it.

Biden on criminal justice reform: https://time.com/6155084/biden-criminal-justice-reform/

Trump on criminal justice reform: https://www.vox.com/2020-presidential-election/21418911/donald-trump-crime-criminal-justice-policy-record https://www.theatlantic.com/politics/archive/2024/05/trumps-extreme-plans-crime/678502/

From pardons for non-violent marijuana convictions to reducing the federal government's reliance on private prisons, Biden has done a lot in four years to reform our criminal justice system on the federal level. Meanwhile, Trump has described himself as "tough on crime". He advocates for more policing, including "stop and frisk" activities. Ironically it's actually quite difficult to find sources about what Trump thinks about crime, because almost all of the search results are about his own crimes.

Biden on military support for Israel: https://www.nbcnews.com/politics/national-security/biden-obama-divide-closely-support-israel-rcna127107

Trump on military support for Israel: https://www.vox.com/politics/353037/trump-gaza-israel-protests-biden-election-2024

Biden supports Israel financially and militarily and promotes holding Israel close. So did Trump. Trump was also very pro-Israel during his time in office and even moved the embassy to Jerusalem and declared Jerusalem the capitol of Israel, a move that inflamed attitudes in the region.

Biden on a ceasefire: https://www.usatoday.com/story/news/world/2024/06/05/gaza-israel-hamas-cease-fire-plan-biden/73967659007/

Trump on a ceasefire: https://www.nbcnews.com/politics/donald-trump/trump-israel-gaza-finish-problem-rcna141905

Trump has tried to be quiet on the issue but recently said he wants Israel to "finish the problem". He of course claims he could have prevented the whole problem. Trump also openly stated after Oct 7th that he would bar immigrants who support Hamas from the country and send in officers to American protests to arrest anyone supporting Hamas.

Biden meanwhile has been quietly urging Netanyahu to accept a ceasefire deal for months, including the most recent announcement earlier in June, though it seems as though that deal has finally fallen through as well.

[brunetterightsactivist]

So tempted to cancel the dentist appointment I have on Thursday lol like the dentist is always like “why haven’t you done this yet” and whatever they want you to do is gonna be at least $200

[wheeloffortune-design]

Another aspect of mental illness is how it makes you spend a lot of money because you've been neglecting things for too long.

I can't remember the last time I went to the dentist, because the depression was too strong. Now my new meds work (it wasn't depression it was adhd!!), so I had the required energy to do it.

Ouch. That accumulated plaque had calcified and the hygienist spent forever scraping it off, and it's not even all of it.

So, of course I have several cavities, that need to be fixed before we start on anything else. Just the cavities is 1700$ (canadian). Now, I have insurance through my job (because teeth aren't covered by our canadian health insurance), but it's the kind of insurance you have to fill forms after the fact to get reimbursed. Which means I need to have that 1700$ in bank and I don't know how long it'll take to get it back.

Mental illness stops you from doing routine checkups that would lower the cost of maintaining your body, your house, your car, etc. You can't do the small regular upkeep things, so eventually you're stuck with big catastrophes that can't be ignored. And we don't all have the insurance to cover it. :/

[batboyblog]

Things the Biden-Harris Administration Did This Week #31

August 9-16 2024

President Biden and Vice-President Harris announced together the successful conclusion of the first negotiations between Medicare and pharmaceutical companies over drug prices. For years Medicare was not allow to directly negotiate princes with drug companies leaving seniors to pay high prices. It has been a Democratic goal for many years to change this. President Biden noted he first introduced a bill to allow these negotiations as a Senator back in 1973. Thanks to Inflation Reduction Act, passed with no Republican support using Vice-President Harris' tie breaking vote, this long time Democratic goal is now a reality. Savings on these first ten drugs are between 38% and 79% and will collectively save seniors $1.8 billion dollars in out of pocket costs. This comes on top of the Biden-Harris Administration already having capped the price of insulin for Medicare's 3.5 million diabetics at $35 a month, as well as the Administration's plan to cap Medicare out of pocket drug costs at $2,000 a year starting January 2025.

President Biden and Vice President Harris have launched a wide ranging all of government effort to crack down on companies wasting customers time with excessive paperwork, hold times, and robots rather than real people. Some of the actions from the "Time is Money" effort include: The FTC and FCC putting forward rules that require companies to make canceling a subscription or service as easy as signing up for it. The Department of Transportation has required automatic refunds for canceled flights. The CFPB is working on rules to require companies to have to allow customers to speak to a real person with just one button click ending endless "doom loops" of recored messages. The CFPB is also working on rules around chatbots, particularly their use from banks. The FTC is working on rules to ban companies from posting fake reviews, suppressing honest negative reviews, or paying for  positive reviews. HHS and the Department of Labor are taking steps to require insurance companies to allow health claims to be submitted online. All these actions come on top of the Biden Administration's efforts to get rid of junk fees.

President Biden and First Lady Jill Biden announced further funding as part of the President's Cancer Moonshot. The Cancer Moonshot was launched by then Vice-President Biden in 2016 in the aftermath of his son Beau Biden's death from brain cancer in late 2015. It was scrapped by Trump as political retaliation against the Obama-Biden Administration. Revived by President Biden in 2022 it has the goal of cutting the number of cancer deaths in half over the next 25 years, saving 4 million lives. Part of the Moonshot is Advanced Research Projects Agency for Health (ARPA-H), grants to help develop cutting edge technology to prevent, detect, and treat cancer. The President and First Lady announced $150 million in ARPA-H grants this week focused on more successful cancer surgeries. With grants to Tulane, Rice, Johns Hopkins, and Dartmouth, among others, they'll help fund imaging and microscope technology that will allow surgeons to more successfully determine if all cancer has been remove, as well as medical imaging focused on preventing damage to healthy tissues during surgeries.

Vice-President Harris announced a 4-year plan to lower housing costs. The Vice-President plans on offering $25,000 to first time home buyers in down-payment support. It's believed this will help support 1 million first time buyers a year. She also called for the building of 3 million more housing units, and a $40 billion innovation fund to spur innovative housing construction. This adds to President Biden's call for a $10,000 tax credit for first time buyers and calls by the President to punish landlords who raise the rent by over 5%.

President Biden Designates the site of the 1908 Springfield Race Riot a National Monument. The two day riot in Illinois capital took place just blocks away from Abraham Lincoln's Springfield home. In August 1908, 17 people die, including a black infant, and 2,000 black refugees were forced to flee the city. As a direct result of the riot, black community leaders and white allies met a few months later in New York and founded the NAACP. The new National Monument will seek to preserve the history and educate the public both on the horrible race riot as well as the foundation of the NAACP. This is the second time President Biden has used his authority to set up a National Monument protecting black history, after setting up the Emmett Till and Mamie Till-Mobley National Monument on Emmett Till's 82nd birthday July 25th 2023.

The Department of The Interior announced $775 million to help cap and clean up orphaned oil and gas wells. The money will help cap wells in 21 states. The Biden-Harris Administration has allocated $4.7 billion to plug orphaned wells, a billion of which has already been distributed. More than 8,200 such wells have been capped since the Bipartisan Infrastructure Law passed in 2022. Orphaned wells leak toxins into communities and are leaking the super greenhouse gas methane. Plugging them will not only improve the health of nearby communities but help fight climate change on a global level.

Vice-President Harris announced plans to ban price-gouging in the food and grocery industries. This would be a first ever federal ban on price gouging and Harris called for clear "rules of the road" on price rises in food, and strong penalties from the FTC for those who break them. This is in line with President Biden's launching of a federal Strike Force on Unfair and Illegal Pricing in March, and Democratic Senator Bob Casey's bill to ban "shrinkflation". In response to this pressure from Democrats on price gouging and after aggressive questions by Senator Casey and Senator Elizabeth Warren, the supermarket giant Kroger proposed dropping prices by a billion dollars

[ms-demeanor]

On insurance: I still live with my parents and don't know a lot yet about the sorts of things adults usually have to spend money on. I've always been skeptical of things like insurance and credit cards because it seems to me they wouldn't be selling that if they didn't expect to make money from it. I talked to my cousin a while ago about credit cards and basically came to the conclusion that they do that because they're betting on the customer getting sloppy and letting their debts stack up, and the way you beat that and get money from credit card companies is just by being careful.

I'm a little more confused about insurance though because it seems much more straightforwardly like a gamble they will simply not take if it won't pay off for them. Like, you don't go to a casino because every game they play at a casino is one they've done the math on and have determined that statistically most people will lose money on most of the time. Is insurance not kinda the same? Where they estimate the risk and then charge you an amount calculated to make sure it probably won't be worth it for you?

I know if you have a car you legally need car insurance so everyone knows you can pay for another car if you crash into someone, and I gather that here in the US at least health insurance companies have some kinda deal with hospitals so that the prices go down or something, and there's a reason I don't fully understand why not having health insurance is Really Bad. But we get to pet insurance, or like when I buy a concert ticket and it offers ticket insurance in case I can't make it to the show, and surely if they thought they were gonna lose money on that they just wouldn't sell it, right? Or they'd raise the price of it until it became worth the risk that something bad actually will happen? Wouldn't it only be worth it to buy insurance if you know something the insurance company doesn't?

So the deal is that most people don't use their insurance much, and often insurance companies will incentivize doing things that will make you use your insurance less.

So, for example, you can get a discount on car insurance if you have multiple cars because people who insure multiple cars are more likely to be responsible drivers (the ability to pay for multiple cars stands in as a representation of responsibility here). The longer you go without an accident, the lower your premiums get because that means that you are not costing your insurance company anything but you are paying into the system. The car insurance company's goal is to have the most responsible, safest drivers who never get into car accidents because they can predict (roughly) how much they're going to have to pay out to their customers and they want the number they pay out to be lower than what's paid in. So they try to discourage irresponsible drivers by raising their rates and encourage responsible drivers by giving them discounts.

Health insurance companies often do the same thing: I recently got a gift card from my health insurance company because I had a visit from a nurse who interviewed me about my overall health and made sure I had stable blood pressure and access to medications. It is literally cheaper for my insurance company to give me a $100 giftcard and hire a nurse to visit me than it is for me to go to my doctor's office a couple of times, so they try to make sure that their customers are getting preventative care and are seeing inexpensive medical professionals regularly so that they don't have to suddenly see very expensive professionals after a long time without care.

Insurance in the US has many, many, many problems and should be replaced with socialized healthcare for a huge number of reasons but right now, because it is an insurance-based system, you need to have insurance.

We're going to use Large Bastard as an example.

Large Bastard had insurance when he had his heart attack and when he needed multiple organs transplanted. He didn't *want* to be paying for insurance, because he thought he was healthy enough to get by, but I insisted. His premium is four hundred dollars a month, and his out of pocket maximum is eight thousand dollars a year. That means that every year, he pays about $5000 whether he uses his insurance or not, and if he DOES need to use the insurance, he pays the first $8k worth of care, so every year his insurance has the possibility of costing him thirteen thousand dollars.

The bill for his bypass surgery was a quarter million dollars.

The bill for his transplant was over one and a half million dollars.

His medication each month is around six hundred dollars. He needs to have multiple biopsies - which are surgeries - each year, and each one costs about twenty thousand dollars.

Without health insurance, he would very likely be dead, or we would be *even more* incapable of paying for his healthcare than we are right now. He almost ditched his insurance because he was a healthy-seeming 40-year-old and he didn't think he'd get sick. And then he proceeded to be the sickest human being I've ever known personally who did not actually die.

Health insurance costs a lot of money. It costs less money for people who are young and who are expected to be healthy. But the thing is, everybody pays into health insurance, and very, very few people end up using as much money for their medical expenses as Large Bastard did. There are a few thousand transplants in the US ever year, but there are hundreds of millions of people paying for insurance.

This ends up balancing out (sort of) so that people who pay for insurance get a much lower cost on care if they need it, hospitals get paid for the care they provide, and the insurance company makes enough money to continue to exist. Part of the reason that people don't like this scheme is because "insurance company" could feasibly be replaced by "government" and it would cost less and provide a better standard of care, but again, with things as they are now, you need to have insurance. Insurance companies are large entities that are able to negotiate down costs with the providers they work with, you are not. If you get hit by a car you may be able to get your medical bills significantly reduced through a number of means, but you're very unlikely to get your bills lower than the cost of insurance and a copay.

Because of the Affordable Care Act, which is flawed but which did a LOT of good, medical insurance companies cannot refuse to treat you because of preexisting conditions and also cannot jack up your premiums to intolerable rates - since Large Bastard got sick, he has had the standard price increases you'd expect from aging, but nothing like the gouging you might expect from an insurance company deciding you're not worth it.

Pet insurance works on the same model. Millions of people pay for the insurance, thousands of people end up needing it, a few hundred end up needing a LOT of it, and the insurance companies are able to make more money than they hand out, so they continue to exist. This is part of why it's less expensive to get pet insurance for younger animals - people who sign up puppies and kittens are likely to be paying for a very long time and are likely to provide a lot of preventative care for their animals, so they're a good bet for the insurer. Animals signed up when they are older are more likely to have health problems (and pet insurance CAN turn animals away for preexisting conditions) and are going to cost the insurance companies more, so they cost more to enroll (and animals over a certain age or with certain conditions may be denied entirely).

This weighing risk/reward is called actuarial science, and the insurance industry is built on it.

But yeah it's kind of betting. The insurance company says "I'll insure ten thousand dogs and I'm going to bet that only a hundred of them will need surgery at some point in the next year" and if they're correct, they make money and the dogs who need surgery get their surgery paid for out of the premiums from the nine thousand nine hundred dogs who didn't need surgery.

Your assessment of credit is correct: credit card companies expect that you will end up carrying a balance, and that balance will accrue interest, and the interest is how they make the money.

And it is EASY to fuck up financially as an adult. REALLY EASY. But you are still likely to need a good credit score so you will need a credit history. That means that the correct way to use a credit card is to have a card, but not carry a balance.

To do this, never buy anything on the card that you can't afford. In order to avoid needing the card for emergencies, start an emergency fund that is at least 3 months of your total pay *before* you get a credit card. That seems like a *lot* of savings to have, but from the perspective of someone who has had plenty of mess-ups, it's a lot easier to build up a $10k emergency fund than it is to pay off a $10k credit card debt.

If you don't understand how interest works on credit cards, or why a 10k savings is different than a 10k debt, here are some examples working with $10k of debt, 23% interest (an average-ish rate for people with average credit), and various payments.

With that debt and that interest, here's how much it costs and how long it would take to pay off with $200 as the monthly payment:

Fourteen years, and it would cost you about twenty four thousand dollars in interest, for a total amount paid of about thirty four thousand dollars.

To save $10k at $200 a month would take four years and two months.

Here's the same debt at $300 a month:

4.5 Years and it costs about six grand (again, just in interest - sixteen thousand dollars total). Saving ten thousand dollars at three hundred dollars a month would take just under three years.

Here's the same debt at $400 a month:

3 years, about $4000 dollars (fourteen thousand dollars total). Saving ten thousand dollars at $400 a month takes just over two years.

The thing is, with all of these models you're going to end up paying one way or another. Insurance vs out of pocket is you weighing the risk of losing a fair amount of money by signing up but not using the system, or potentially losing a catastrophic amount of money by not signing up.

For credit cards they really only work if you know you're never going to need them for an emergency, because an emergency is what you're not going to be able to pay off right away. I didn't have an emergency fund when Large Bastard had his heart attack and needed surgery, or when we moved between states suddenly, or when we moved between states suddenly AGAIN and needed to pay storage costs, or when Large Bastard needed a transplant, or when Tiny Bastard got in a fight with my MiL's dog, and the fact that I didn't have an emergency fund is still costing me a lot of money.

So, young folks out there: what's the takeaway?

Get insurance. Get the best deal possible, which usually ends up being the one you sign up for early. You may think you can let it ride without insurance, but man in the six months between when I graduate college (and lost my school insurance) and when care kicked in after 90 days at my job I got electrocuted and needed to go to the ER. If that hadn't been a worker's comp payout I would have had thousands of dollars in bills. Something could happen. You could break your leg, you could get hit by a car, you could suddenly find out that you actually have heart disease at twenty, you could develop cancer. Have insurance, you need insurance. You legally need car insurance in the US, and you financially need health insurance. If you have a pet, I think it's a good idea for them to have pet insurance.

Credit cards are not for emergencies, they are not for fun, they are not for buying things that are just ever so slightly out of your budget, they are for taking advantage of the credit card company and managing to get by in a system that demands you have a credit score. ONLY put purchases on your credit card that you already have cash for. Before you get a credit card, build up an emergency savings so that you aren't tempted to put emergency charges on your card.

If you DO end up with an interest-bearing debt, pay it off as fast as possible because letting it linger costs you a LOT of money in the long run.

Stay the fuck away from tobacco and nicotine products they are fucking terrible for you, they are fucking expensive, and they are not worth it put the vapes down put the zyns down put the cigarettes down I will begin manifesting in your house physically i swear to fuck. Knock that shit off and put the cash that you'd be spending on nicotine into a savings account.

Take care, sorry everything sucks, I promise that in some ways it actually sucks less than it did before and we're working on trying to make it suck even less but it's taking a while.

[roboticchibitan]

I used to work at JoAnn's and let me give you a tip. Don't buy fabric there if you can help it. It's overpriced low quality crap. You can absolutely find fabric for just as cheap online and if you're a "have to touch it before I know if I'll hate it or not" person lots of online places sell samples.

Case in point: Robert Kaufman Kona solids. I've seen claims online that the Kona solid quilting cotton, which is the highest quality quilting cotton solids JoAnn's sells, is different and lower quality than the Kona cotton you can get at a quilt shop. I can't speak to the validity of those claims but I 100% would not be surprised if it were true. But let's set that aside and just see how JoAnn's prices measure up.

As you can see, the regular price at JoAnn's is $9.99. The regular price at this random quilting online store I spent 20 seconds on duckduckgo to find is $7.95. Sure, the sale price is 15¢ cheaper at JoAnn's. But JoAnn's is constantly playing this "our fabrics are cheap because they're on sale! Don't look at how much they regularly cost anywhere else" psychological warfare game which I do NOT appreciate.

I'm sure if you looked harder than the 20 seconds I spent on duckduckgo you could find Kona cotton for cheaper than JoAnn's has it and you wouldn't have to wonder about the quality claims. And all their fabric is like this. Maybe a decade ago it was a good deal but now? There's a reason they've gone bankrupt.

Just because I could, I compared fabric wholesale direct's price for solid color polyester Jersey knit fabric, which is regularly priced at $5.99 and is currently on sale for $5.09. JoAnn's comparable fabric starts again at $9.99/yard and that fabric is currently on sale for $6.99. There are 10 colors of the JoAnn's $6.99 fabric and 45 colors of the FWD $5.09 fabric FWD does free shipping over $99 and flat rate shipping at $7.95 for anything below that. Depending on how much you buy, you'll potentially be paying the same or less for the FWD fabric and 1. It's probably higher quality and 2. There's 4 times as many color options.

JoAnn's is good for if you need less than a yard and have the time and ability to go to the store in person. And yeah, if you're shopping in person, you don't have to pay shipping. But the quality of all their fabric is low and the "sale" prices are around the same as a place with higher quality fabric.

I buy embroidery floss and thread at JoAnn's cuz embroidery floss is cheaper in person than on DMC's website and you can't trust product photos of thread to be color accurate. And I buy sewing notions there sometimes cuz it's convenient. But even the scissors I spent $30 on there a decade ago (who knows how much they are now) were $17 at Walmart when I lost the first pair and had to replace them 4 years later.

Also they treat their employees like shit and currently no one besides store managers gets health insurance through them because the only full time position in their stores is the store manager. And even before the bankruptcy they shortstaffed and did everything in their power to avoid paying for benefits and overtime. It was the worst job I ever had and that's saying something because I worked at Walmart and had a "this creepy guy went to JAIL over what he did to me" experience there.

[lookingforcactus]

A big cost and concern for many seniors in the U.S. is the price of prescription drugs and other healthcare expenses—and this year, thanks to The Inflation Reduction Act, their costs may go down dramatically, especially for patients fighting cancer or heart disease.

I learned about the new benefits because my ‘Medicare birthday’ is coming up in a couple months when I turn 65. I was shocked that there were so many positive changes being made, which I never heard about on the news.

Thousands of Americans on Medicare have been paying more than $14,000 a year for blood cancer drugs, more than $10,000 a year for ovarian cancer drugs, and more than $9,000 a year for breast cancer drugs, for instance.

That all changed beginning in 2023, after the Biden administration capped out-of-pocket prescriptions at $3,500—no matter what drugs were needed. And this year, in 2024, the cap for all Medicare out-of-pocket prescriptions went down to a maximum of $2,000.

“The American people won, and Big Pharma lost,” said President Biden in September 2022, after the legislation passed. “It’s going to be a godsend to many families.”

Another crucial medical necessity, the shingles vaccine, which many seniors skip because of the cost, is now free. Shingles is a painful rash with blisters, that can be followed by chronic pain, and other complications, for which there is no cure

In 2022, more than 2 million seniors paid between $100 and $200 for that vaccine, but starting last year, Medicare prescription drug plans dropped the cost for shots down to zero.

Another victory for consumers over Big Pharma affects anyone of any age who struggles with diabetes. The cost of life-saving insulin was capped at $35 a month [for people on Medicare].

Medicare is also lowering the costs of the premium for Part B—which covers outpatient visits to your doctors. 15 million Americans will save an average of $800 per year on health insurance costs, according to the US Department of Health and Human Services.

Last year, for the first time in history, Medicare began using the leverage power of its large patient pool to negotiate fair prices for drugs. Medicare is no longer accepting whatever drug prices that pharmaceutical companies demand.

Negotiations began on ten of the most widely used and expensive drugs.

Among the ten drugs selected for Medicare drug price negotiation were Eliquis, used by 3.7 million Americans and Jardiance and Xarelto, each used by over a million people. The ten drugs account for the highest total spending in Medicare Part D prescription plans...

How are all these cost-savings being paid for?

The government is able to pay for these benefits by making sure the biggest corporations in America are paying their fair share of federal taxes.

In 2020, for instance, dozens of American companies on the Fortune 500 list who made $40 billion in profit paid zero in federal taxes.

Starting in 2023, U.S. corporations are required to pay a minimum corporate tax of 15 percent. The Inflation Reduction Act created the CAMT, which imposed the 15% minimum tax on the adjusted financial statement income of any corporation with average income that exceeds $1 billion.

For years, Americans have decried the rising costs of health care—but in the last three years, there are plenty of positive developments.

-via Good News Network, February 25, 2024

[endlessfuckup]

feel slightly better about the election but i am still worried

Watching this debate has me like this rn

[wiisagi-maiingan]

I think a lot of people are actually in that situation, where things would be FINE financially if they could spread their pretty decent paychecks across multiple things, but costs have shot up so much that incomes that would've put someone in the lower middle class a couple decades ago barely cover the basics (rent/mortgage, utilities, groceries). And then there's other fees on top of that; gas, medication, doctor visits, vet visits, insurance (health, car, life, house, etc), and specific personal fees like child support acá schooling and clothing and the like.

And things are just getting worse. Fees are going up across the board; insurance rates are rising for everyone, grocery prices are doubling within a week, things that used to be free are now subscriptions, and I don't even want to think about entertainment and other "luxuries."

But state insurance and financial assistance programs don't take those things into account at all. You can be completely without power for a week because the cost suddenly went up and not be able to do shit about it because your income looks good on paper and no assistance program will help you because of that.

And I think it's not talked about because of a combination of shame and imposter syndrome. Like you SHOULD be middle class! You aren't poor, look at the money you're making! But you aren't middle class. Very few people in the US are these days. You don't want to complain thigh because you're doing better than "real" poor people, right? Those services aren't for you, they're for people who actually need help and that can't be you because you're making okay money.

Idk. I just feel like this is something a lot of people aren't aware is an issue and I think we need to talk about it. We talk about the shrinking middle class a lot but not about what that actually looks like.

[kcinpa]

TL;DR Project 2025

Project 2025 has crossed my dash several times, so maybe tumblr is already informed about the hellish 900-page takeover plan if Trump wins office again. But even the articles covering Project 2025 can be a LOT of reading. So I'm trying to get it down to simple bulleted lists…

Navigator Research (a progressive polling outfit) found that 7 in 10 Americans are unfamiliar with Project 2025. But the more they learn about it, the more they don't like or want it. When asked about a series of policy plans taken directly from Project 2025, the bipartisan survey group responded most negatively to the following:

Allowing employers to stop paying hourly workers overtime

Allowing the government to monitor people’s pregnancies to potentially prosecute them if they miscarry

Removing health care protections for people with pre-existing conditions

Eliminating the National Weather Service, which is currently responsible for preparing for extreme weather events like heat waves, floods, and wildfires

Eliminating the Head Start program, ending preschool education for the children of low-income families

Putting a new tax on health insurance for millions of people who get insurance through their employer

Banning Medicare from negotiating for lower prescription drug costs and eliminating the $35 monthly cap on the price of insulin for seniors

Cutting Social Security benefits by raising the retirement age

Allowing employers to deny workers access to birth control

Laurie Garrett looked at the roughly 50 pages within Project 2025 that deal with Health and Human Services (HHS) and other health agencies, and summarized them on Twitter/X in a series of replies. I've shortened even more here:

HHS must "respect for the sacred rights of conscience" for Federal workers & healthcare providers and workers broadly who object to abortions, contraception, gender reassignment & other issues - ie. allow them to deny services based on religious beliefs

HHS should promote "stable and flourishing married families."

Require all welfare programs to "promote father involvement" – or terminate their funding for mothers and children.

Prioritize adoptions via faith-based organizations.

Redefine sex, eliminating all forms of gender "confusion" regarding identity and orientation.

Eliminate the Head Start program for children, entirely

Ban all funding of Planned Parenthood

Ban birth control services that are "egregious attacks on many Americans' religious & moral beliefs"

Deny pregnancy termination pills, "mail-order abortions."

Eliminate Office of Refugee Resettlement; move all refugee matters to the Department of Homeland Security

Healthcare should be "market-based"

Ban all mask and vaccine requirements.

Closely regulate the NIH w/citizen ethics panels, ensuring that no research involves fetal tissue, leads to development of new forms of Abortions or brings profits to the researchers.

Redirect the Office of Global Affairs to promoting "moral conscience" & full compliance w/the Mexico City policy

The CDC should have no role in medical policies.

"Because liberal states have now become sanctuaries for abortion tourism," HHS should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence & by what method.

I'm still looking for a good short summary of the environmental horrors that Project 2025 would bring if it comes to fruition…

[reasonsforhope]

Flint, Michigan, has one of the [United States]'s highest rates of child poverty — something that got a lot of attention during the city's lead water crisis a decade ago. And a pediatrician who helped expose that lead problem has now launched a first-of-its-kind move to tackle poverty: giving every new mother $7,500 in cash aid over a year.

A baby's first year is crucial for development. It's also a time of peak poverty.

Flint's new cash transfer program, Rx Kids, starts during pregnancy. The first payment is $1,500 to encourage prenatal care. After delivery, mothers will get $500 a month over the baby's first year.

"What happens in that first year of life can really portend your entire life course trajectory. Your brain literally doubles in size in the first 12 months," says Hanna-Attisha, who's also a public health professor at Michigan State University.

A baby's birth is also a peak time for poverty. Being pregnant can force women to cut back hours or even lose a job. Then comes the double whammy cost of child care.

Research has found that stress from childhood poverty can harm a person's physical and mental health, brain development and performance in school. Infants and toddlers are more likely than older children to be put into foster care, for reasons that advocates say conflate neglect with poverty.

In Flint, where the child poverty rate is more than 50%, Hanna-Attisha says new moms are in a bind. "We just had a baby miss their 4-day-old appointment because mom had to go back to work at four days," she says...

Benefits of Cash Aid

Studies have found such payments reduce financial hardship and food insecurity and improve mental and physical health for both mothers and children.

The U.S. got a short-lived taste of that in 2021. Congress temporarily expanded the child tax credit, boosting payments and also sending them to the poorest families who had been excluded because they didn't make enough to qualify for the credit. Research found that families mostly spent the money on basic needs. The bigger tax credit improved families' finances and briefly cut the country's child poverty rate nearly in half.

"We saw food hardship dropped to the lowest level ever," Shaefer says. "And we saw credit scores actually go to the highest that they'd ever been in at the end of 2021."

Critics worried that the expanded credit would lead people to work less, but there was little evidence of that. Some said they used the extra money for child care so they could go to work.

As cash assistance in Flint ramps up, Shaefer will be tracking not just its impact on financial well-being, but how it affects the roughly 1,200 babies born in the city each year.

"We're going to see if expectant moms route into prenatal care earlier," he says. "Are they able to go more? And then we'll be able to look at birth outcomes," including birth weight and neonatal intensive care unit (NICU) admissions.

Since the pandemic, dozens of cash aid pilots have popped up across the nation. But unlike them, Rx Kids is not limited to lower-income households. It's universal, which means every new mom will get the same amount of money. "You pit people against each other when you draw that line in the sand and say, 'You don't need this, and you do,' " Shaefer says. It can also stigmatize families who get the aid, he says, as happened with traditional welfare...

So far, there's more than $43 million to keep the program going for three years. Funders include foundations, health insurance companies and the state of Michigan, which allocated a small part of its federal cash aid, known as Temporary Assistance for Needy Families.

Money can buy more time for bonding with a baby

Alana Turner can't believe her luck with Flint's new cash benefits. "I was just shocked because of the timing of it all," she says.

Turner is due soon with her second child, a girl. She lives with her aunt and her 4-year-old son, Ace. After he was born, her car broke down and she was seriously cash-strapped, negotiating over bill payments. This time, she hopes she won't have to choose between basic needs.

"Like, I shouldn't have to think about choosing between are the lights going to be on or am I going to make sure the car brakes are good," she says...

But since she'll be getting an unexpected $7,500 over the next year, Turner has a new goal. With her first child, she was back on the job in less than six weeks. Now, she hopes she'll be able to slow down and spend more time with her daughter.

"I don't want to sacrifice the time with my newborn like I had to for my son, if I don't have to," she says."

-via NPR, March 12, 2024

[foxgirlmoth]

Okay, lets go through this apparent list of positives that Biden is in favor of.

Trans Rights: There have been multiple laws within states to fully close off especially trans kids rights to medical treatments and more. This is extremely current. Biden puts in minimal effort to look like he's doing anything at all for trans and queer rights, and there haven't really been any efforts aside from doing one or two proposals that immediately get shot down, and he's more than okay with that, hence why there's no longer really any push for this shit still. If you're trans, you can't piss in Utah without the risk of getting a fine right now. Even though these are state laws, the fact that there's been nearly zero effort federally to address this besides the title IX rule, speaks a lot about priorities in this area.

Abortion Access: Are we just forgetting the whole Roe V Wade getting overturned thing that happened in 2022? Are you really trying to say that this is good for abortion access? Abortion access has gotten actively worse.

Environmental Reform: Biden has endorsed extreme oil drilling projects and in general oil companies still love him! Not to mention the train crashes which we'll get to later.

Healthcare Reform: Covid-19 is still around and is sadly predicted to stay around for a long while. Healthcare is still private and a competitive field in the US and that causes major issues as well. If you look this up, you see articles titled along the lines of "Biden has lowered the cost of insurance" and meanwhile it just dropped in 2020 once during the pandemic but has been growing in cost.

Prescription Reform: Reading into this, not much has changed, which isn't surprising under genocide Joe. Drugs in the US are still higher than anywhere else in the world, and with healthcare issues still abundant, this is still a big issue.

Student Loan Forgiveness: Student debt is still extremely high in the US, and while Biden has rolled out some plans for forgiveness, it's a fraction of the debt, and he primarily uses the whole thing to win over swing states. This is a dangling carrot that provides very little overall.

Infrastructure Funding: Train crashes from 2020-present, worldwide, but notice the amount of US crashes! Neat! Quite literally just look up train crashes in the US during his presidency, there's too many to link here. It is also important to remember that Biden signed a bill to prevent rail strikes, preventing a lot of pressure to the government and the economy, which would have been a GOOD THING. Seriously, this guy has fucked up our environment and our rights in multiple ways.

Advocating Racial Equity: Structural racism within the US is still a huge problem, Biden hasn't addressed much. Also people are still in cages on the Mexico/US border (Which has been maintained by every president in office since it was established), with a very recent crackdown on the border.

Diversity, Equity, and Inclusion: Just. Look at the racial equity and trans rights sections above. Biden does the bare minimum, loves focusing on swing states, and all around uses the ol' carrot on a stick.

Vaccines and Public Health: Once again look above at sections on healthcare, abortion access, and prescription reform. Its bad. Remember how Covid-19 vaccines aren't being continued for free?

Criminal Justice Reform: This is just structural slavery still. Disproportionate amounts of black people are incarcerated, police are still heavily funded under Biden. He does not care about reforming the justice system, he even supports cops breaking up campus protests! Cool!

Military Support for Israel: Yup! Both sides suck! Biden has a very long history of sure hating Arabic countries though! He's done nothing but ship weapons and participate in the genocide of Palestinian people. Would Trump also do this? Yes. Does this mean this is an issue you should just drop and call a non-issue? No, what the hell are you talking about.

Israel/Hamas Ceasefire: Netanyahu has no plans to accept any actual ceasefire, yet Biden still provides weapons and support. Wow! That sure is weird? I wonder if Biden really cares about a ceasefire or how he just looks publicly.

Biden is not a good president, much less a good human being. You provided such a flimsy chart with zero resources or support behind you, and it just feels like people are just making shit up at this point. Get your heads out of the liberal cesspool you grew up in.

[amaditalks]

Every year all of the big diet companies have to come up with some brand new labeling for their plans in order to encourage people to get on the January weight loss train.

This year, Weight Watchers is going further than they’ve ever gone before, by announcing that they have created a new system to give their members access to prescriptions for drugs like Ozempic and Mounjaro.

Let me remind you that these drugs only work while you’re taking them. As soon as you stop, all of your appetite comes back. Your desire to eat returns, and because it has been artificially suppressed it may feel much stronger and less controllable than it was before you took the drugs. Many people who come off these drugs, usually because of cost (because insurers are balking at coverage for weight loss) or shortages (because so many people are taking them for weight loss, which is leaving the diabetics who need them up shit creek) or side effects report that the first weeks are really difficult, mentally painful and often binging occurs.

Additionally, all of these drugs carry a real risk of creating a terribly painful and potentially deadly condition called Gastroparesis, in which your gastrointestinal system just stops functioning, you cannot digest and process food at all.

You do not need to lose weight to be healthy. You do not need to lose weight to be beautiful or attractive, to have success, or love. You do not need to lose weight in order to pursue fitness. If you have particular health needs or goals that can only be achieved by changing the way you eat, (e.g. lowering cholesterol or blood glucose or addressing gastro issues) that does not mean that you need a weight loss diet plan, just one designed toward your needs.

But more than anything, you do not ever need to put another penny into the coffers of the multibillion dollar weight loss industry, which, if it actually had a way to take a fat person and make them thin permanently (something that cannot even be achieved by surgeries that drastically rearrange digestive systems) would be a multi quadrillion dollar industry instead. 

[batboyblog]

Things Biden and the Democrats did, this week #7

Feb 23-March 1 2024

The White House announced $1.7 Billion in new commitments from local governments, health care systems, charities, business and non-profits as part of the White House Challenge to End Hunger and Build Healthy Communities. The Challenge was launched with 8 billion dollars in 2022 with the goal of ending hunger in America by 2030. The Challenge also seeks to drastically reduce diet-related diseases (like type 2 diabetes). As part of the new commitments 16 city pledged to make plans to end hunger by 2030, the largest insurance company in North Carolina made nutrition coaching and a healthy food delivery program a standard benefit for members, and since the challenge launched the USDA's Summer EBT program has allowed 37 states to feed children over the summer, its expected 21 million low income kids will use the program this summer.

The US House passed a bill on Nuclear energy representing the first update in US nuclear energy policy in decades, it expands the Nuclear Regulatory Commission and reduces reducing licensing fees. Nuclear power represents America's single largest source of clean energy, with almost half of carbon-free electricity coming from it. This bill will boost the industry and make it easier to build new plants

Vice President Harris announced key changes to the Child Care & Development Block Grant (CCDBG) program. The CCDBG supports the families of a million American children every month to help afford child care. The new changes include capping the co-pay families pay to no more than 7% of their income. Studies show that high income families pay 6-8% of their income in childcare while low income families pay 31%. The cap will reduce or eliminate fees for 100,000 families saving them an average of over $200 a month. The changes also strength payments to childcare providers insuring prompt payment.

The House passed a bill making changes to the Small Business Administration’s 8(a) program. The 8(a) is an intensive 9 year program that offers wide ranging training and support to small business owners who are socially and economically disadvantaged, predominantly native owned businesses. Under the current structure once a business reaches over 6.8 million in assets they're kicked off the program, even though the SBA counts anything under $10 million as a small business, many companies try to limit growth to stay on the program. The House also passed a bill to create an Office of Native American Affairs at the SBA, in order to support Native-owned small businesses.

The White House and HUD announced steps to boost the housing supply and lower costs plans include making permanent the Federal Financing Bank Risk Sharing program, the program has created 12,000 affordable housing units since 2021 with $2 billion and plans 38,000 additional units over ten years. As well as support for HUD's HOME program which has spent $4.35 billion since 2021 to build affordable rental homes and make home ownership a reality for Americans. For the first time an administration is making funds available specifically for investments in manufactured housing, $225 million. 20 million Americans live in manufactured housing, the largest form of unsubsidized affordable housing in the country, particularly the rural poor and people in tribal communities.

The Department of Energy announced $336 million in investments in rural and remote communities to lower energy costs and improve reliability. The projects represent communities in 20 states and across 30 Native tribes. 21% of Navajo Nation homes and 35% of Hopi Indian Tribe homes remain unelectrified, one of the projects hopes to bring that number to 0. Another project supports replacing a hydroelectric dam in Alaska replacing all the Chignik Bay Tribal Council's diesel power with clear hydro power. The DoE also announced $18 million for Transformative Energy projects lead by tribal or local governments and $25 million for Tribal clean energy projects, this comes on top of $75 million in Tribal clean energy projects in 2023

Transportation Secretary Pete Buttigieg put forward new rules to ensure airline passengers who use wheelchairs can travel safely and with dignity. Under the planned rules mishandling a wheelchair would be a violation of the ACAA, airlines would be required to immediately notify the passenger of their rights. Airlines would be required to repair or replace the wheelchair at the preferred vendor of the passenger's choice as well as provide a loaner wheelchair that fits the passenger's needs/requirements

The EPA launched a $3 Billion dollar program to help ports become zero-emission. This investment in green tech and zero-emission will help important transportation hubs fight climate change and replace some of the largest concentrations of diesel powered heavy equipment in America.

the EPA announced $1 Billion dollars to help clean up toxic Superfund sites. This is the last of $3.5 billion the Biden administration has invested in cleaning up toxic waste sites known as Superfund sites. This investment will help finish clean up at 85 sites across the country as well as start clean up at 25 new sites. Many Superfund sites are contained and then left not cleaned for years even decades. Thanks to the Biden-Harris team's investment the EPA has been able to do more clean up of Superfund sites in the last 2 years than the 5 years before it. More than 25% of America's black and hispanic population live with-in 5 miles of a Superfund site.

Bonus: Sweden cleared the final major barrier to become NATO's 32nd member. The Swedish Foreign Minster is expected to fly to Washington to deposit the articles of accession at the US State Department. NATO membership for Sweden and its neighbor Finland (joined last year) has been a major foreign policy goal of President Biden in the face of Russian aggressive against Ukraine. Former President Trump has repeatedly attacked NATO and declared he wants to leave the 75 year old Alliance, even going so far as to tell Russia to "do whatever the hell they want" with European NATO allies