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I have nothing directly to gain from PP, Meals on Wheels, Medicaid, or the dozens of social programs that I don't have access to because of my gender, age, and income. I support them because as a society we all benefit when others can get access to help.

In the case of PP, more than half of Planned Parenthood health centers are in rural or medically underserved areas. In the case of Medicaid, the ACA expanded coverage and federal funding to millions of Americans in rural America, specifically to states that enrolled. The states that chose to enroll experienced a decrease in patients skipping medications due to cost, a decline in difficulty paying medical bills and an increase in regular doctor visits for chronic illnesses. Their rural communities also had a lower rate of hospital closures as compared to rural communities in non-enrolled states.

It is mind-blogging to read stories/interviews from rural Americans who benefited from this expansion, and yet in the same breath, will insult Obama and talk about repeal-and-replace, as if somehow the ACA didn't directly benefit them.




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