I posted briefly on Facebook this morning, as the Inauguration proceedings were underway in Washington D.C., that I would not be participating in the Women's March locally, not because I don't support the cause (I wholeheartedly do. Dissent is political. Dissent makes change) but because I know, as a person living with bipolar disorder, that the sheer crowd would trigger a negative reaction in me. I am, however, incredibly proud of the friends and family that will be marching tomorrow, locally and in the nation's capital. It is incredibly important that we use our voices, that we stand up for ourselves, loved ones, marginalized populations, at-risk populations, humanity.
I will admit, watching footage of Barack and Michelle Obama waving farewell and stepping onto Marine One made me tear up a bit. There went one of the biggest champions of human rights, women's rights, gay and transgender rights, health, and public health. So, without a shred of irony I say, "thanks, Obama."
Thank you for the Affordable Care Act. Is it a perfect piece of legislature? No. Is it huge and incredibly complex and in need of reform? Yes. As we face a vague plan of "repeal and replace," I worry that the good work Obama has done will be undone by the incoming administration. Many people focus on the high premiums on the plans offered in the Marketplace, and the struggles to navigate the website. Consider, however, that the ACA removed the ability for insurance companies to deny you coverage based on preexisting conditions. Looking at things through the lens of public health, the ACA has been monumental in healthcare reform. The ACA introduced value-based purchasing and improved quality measures that have improved healthcare delivery and health outcomes. While the HITECH Act was implemented prior to the ACA, it has flourished and expanded within the last several years, opening up health exchanges that collect, examine, and report on population health data. Thanks, Obama, for trying to resolve healthcare disparities and gaps in coverage.
I won't lie. As someone in her last semester in a Master of Public Health program facing an administration that has already demonstrated it doesn't care about the health and welfare of Americans, I'm scared. I'm scared but this degree puts me in a position to advocate for the health needs and rights of all people.
This post isn't nearly as coherent and cohesive as I would like it to be. I am sure, in the near future, there will be plenty to write about.