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Risk-adjusted premiums are widely applied for auto, life, travel, and other forms of insurance, and the ACA allows premium adjustment based on tobacco use. To be clear, I think healthcare coverage should be provided to everyone, perhaps with penalties and/or incentives for a few specific behaviors such as smoking, though that's unlikely to ever come to pass here.


Remember when Trump promised to end coverage denial for people with pre-existing conditions? The closest he got was an executive order that was meaningless in the real world. And how many times have the Republicans tried to repeal the ACA, coming within one vote in 2018, without proposing a viable alternative? That's what happens when a party is bereft of ideas and, with few exceptions, cares more for their continued power than the well-being of their constituents.


Number of states in our country minus the number of Supreme Court Justices?
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