Photo by Matteo Paganelli

Today is World Day of Social Justice, when we promote efforts to tackle issues such as poverty, exclusion, and unemployment.

Social justice is the concept that all individuals deserve equal rights and opportunities — including the right to health. Even in 2019, inequities remain in healthcare that are avoidable, unnecessary, and unjust. These inequities are the result of established policies and practices that maintain an unequal concentration of money, power, resources, and perceived value within society among communities based on gender, age, race, ethnicity, religion, culture, country of origin, or disability.

Racism, homophobia/transphobia, and misogyny are all insidious forms of bigotry that have long-reaching effects into healthcare. Over 30% of medical expenses faced by communities of color can be associated with health inequities, and are more likely to be affected by

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Photo by Patrick Fore on Unsplash

The year 2019 is here, and there is some good news to those who have had experience with the Medicare Part D “donut hole.” Since the passage of the Affordable Care Act in 2010, the “donut hole” has been on track to close by 2020. Due to the passing of the Bipartisan Budget Act of 2018, which stopped last year’s nine-hour shutdown of the federal government, the Part D “donut hole” has actually closed a year ahead of schedule.

Medicare, one of the publicly funded health insurance programs for people over 65 or people younger than 65 with a qualifying health condition, is divided into four parts. This can be confusing for those who are newly eligible trying to find what the differences are and what benefits they will end up having.

Medicare Part A is hospital insurance. This part of Medicare provides you a place to stay with meals while you receive medical services whether at a hospital, hospice, or skilled nursing facility.

Medicare Part B is for medically necessary outpatient procedures. This covers a portion of doctor office visits, lab testing, diagnostic imaging, preventive

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Healthcare in America and Americans’ access to healthcare have faced changes in 2018. There have been Medicaid eligibility changes, laws proposed and promises made to reduce drug costs, as well as public health concerns highlighted such as gun violence. People in the United States continue to count healthcare costs as a major concern.

We at NeedyMeds prefer to remain apolitical, but it is difficult to avoid the partisan nature of the changes in healthcare in America. The effort to undermine the Affordable Care Act (ACA; aka Obamacare) was continued with the expansion of short-term health insurance with lower premiums but high out-of-pocket costs and low benefit coverage, weakened benefit standards, cutting the ACA outreach

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Transgender Pride Flag

Transgender Awareness Week falls between November 12-19 every year and is meant to help raise visibility of a vulnerable and underserved community.  ‘Transgender’ is an umbrella term for people whose gender identity is different from the sex assigned at birth; ‘gender identity’ is one’s innermost concept of self as male, female, a blend of both, or neither.

Transgender and gender-nonconforming people can face significant problems with accessing health care. Finding a healthcare provider who is knowledgeable of transgender health issues can be a hurdle itself; some healthcare professionals may believe that there is something wrong with someone because they are transgender—they are wrong. Even after finding a knowledgeable and sympathetic doctor, insurance may not cover the cost of treatment. Many transgender people are on a dosage of hormones which can affect one’s blood pressure, blood sugar, or in rare cases contribute to cancer. Some cancers found in transgender people can appear atypical—trans men are at risk for ovarian and cervical cancers, and trans women can be diagnosed with prostate cancer.

Transgender/gender

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The Affordable Care Act (ACA; aka Obamacare) Health Insurance Marketplace begins its sixth Open Enrollment period today. American healthcare consumers can sign up on the federal insurance exchange at healthcare.gov or through their state marketplaces. Last year there was increased confusion surrounding Open Enrollment due to changes (and attempted changes) made to the ACA under the Trump administration, leading to the U.S. uninsured rate to rise for the first time since 2014 and the largest single-year increase since 2008.

Open Enrollment period ran 90 days after November 1 until the end of January during the Obama administration but was cut to 45 days in 2017 unless you qualify for the Special Enrollment Period, extending the enrollment period by an additional 60 days. Further limiting access to enrollment, the healthcare.gov website has scheduled weekly 12-hour maintenance outages. Advertising and outreach budgets for Open Enrollment are also cut even more than last year.

New rules put out by the Trump administration this year allow ACA subsidies to be used for

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