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Affordable Care Act 

The The Affordable Care Act (ACA), also known as Obamacare, was enacted in 2010 as a comprehensive reform law.  Notably, the ACA's goal was to increase health insurance coverage for the uninsured and implement productive changes to the health insurance market.  Under the ACA, insurers can’t deny insurance for anyone including children with pre-existing, conditions such as diabetes, pregnancy, asthma, cancer, and atherosclerosis.

Insurance coverage for pre-existing conditions, however,  continue to be subject to political impulses.   Medicare and Medicaid might face substantial cuts affecting South Asian senior citizens and retirees.  

Reproductive Rights

A key aspect of American healthcare is robust reproductive rights, including allowing individuals to prevent unintended pregnancies through access to contraception or the right to a safe, legal abortion.  The seminal US Supreme Court decision, Roe v. Wade, made abortion legal in all 50 states since 1973. However, rules in different states vary the scope of abortion rights through waiting periods, gestational limits, or mandatory counseling that may make access to abortion difficult. Most recently, the Supreme Court declined to hear a recent challenge to abortion rights - an Alabama law that would have effectively banned the procedure after 15 weeks of pregnancy.  As of August 2019, Planned Parenthood withdrew from the Title X program due to a new rule that required all Title X recipients from referring women to abortion providers. With many challenges to reproductive rights laws still to come, reproductive rights remain at the forefront of many voters' concerns.


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