Recommended Reading: Pre-existing Conditions

Pre-existing Conditions

When the Affordable Care Act (ACA) was passed in 2010, we worked with many clients who had preexisting conditions, in order to help them successfully enroll in health insurance plans at reasonable costs. Many had no insurance at all, or if they did, they were being charged exorbitant premiums. As challenges to the ACA move through the courts, these clients are calling for advice and relaying their fears and anxieties at the thought of losing coverage.

Next month, the Supreme Court will consider the constitutionality of the Affordable Care Act (ACA). Its decision will have major consequences in our lives.

More here.


Last month, #justdontgetit was a point of emphasis about not contracting COVID-19 in the first place. I recommended reading about Long-Haulers, those who are suffering long term implications even from mild cases of COVID-19.

This month, I can’t help but think, #itdidnthavetobethisway. This article discusses K, the overlooked variable, measuring the dispersion of the virus.

“It’s not always the restrictiveness of the rules, but whether they target the right dangers.”

More here.

Recommended Reading: #justdontgetit


As I listen to some of the rhetoric about the incidence and the severity of COVID-19 infections in certain demographics, I feel frustrated and find myself constantly saying, “just don’t get infected in the first place.”

Just this past week, Dr. Anthony Fauci said: “From a clinical standpoint, the thing that is the most perplexing to me as a physician is the extraordinary range in spectrum of disease severity.”

I hope these articles about “long-haulers” impact your decision making as we approach the fall and move inside to more confined spaces:

For Some, COVID-19 Symptoms Linger for Months

Long-Haulers are Redefining COVID-19

‘They’re Not Actually Getting Better,’ Says Founder Of COVID-19 Long-Haulers Support Group

Recommended Reading: The Color of Covid

Racial and ethnic minority groups are at increased risk of contracting and dying from COVID-19. Historically, these groups have been less likely to be included in clinical trials for disease treatment.

The Color of COVID: Will Vaccine Trials Reflect America’s Diversity? discusses growing demands of drug makers and investigators to ensure that vaccine trials reflect the entire community.

Why Are More Black Americans Dying of COVID-19? looks at some of the underlying reasons for the racial disparities made visible during the COVID-19 pandemic.

Recommended Reading: Health Insurance

These two articles demonstrate how confusion around health insurance is beginning to play out:

Coronavirus survival comes with a $1.1 million, 181-page price tag

I Didn’t Have to Pay a Penny of My $320,000 COVID-19 Hospital Bill. Is That a Good Thing?

This article, “When 511 Epidemiologists Expect to Fly, Hug and Do 18 Other Everyday Activities Again,” helped me in my own decision making about partaking in these activities, now and in the future.

Recommended Reading: Preparing for Telemedicine Appointments

This local institution had already been using Open Notes to document and share physician notes with patients. Now, they have taken it a step further with a wonderful project to help patients prepare for telemedicine appointments. Read more here.

Surgeon and best-selling author Atul Gawande offers lessons for re-opening from places that never locked down to begin with: hospitals.

His four-point approach is a “combination therapy,” and includes elements with which we are all familiar: hygiene measures, screening, distancing and masks. Culture is the fifth (and arguably the most difficult) pillar of a new combination therapy to stop the coronavirus.

Those who overcome adversity understand that while there is a lot they cannot control, they can — and should — pay attention disproportionately to those things within their area of influence.

Learn more in this terrific interview with Angela Duckworth , author of “Grit.”