中山痔疮的症状及表现(中山结肠息肉手术痛吗) (今日更新中)

A federal judge in Texas said on Friday that the Affordable Care Act's individual coverage mandate is unconstitutional and that the rest of the law must also fall."The Court ... declares the Individual Mandate ... unconstitutional," District Judge Reed O'Connor wrote in his decision. "Further, the Court declares the remaining provisions of the ACA ... are inseverable and therefore invalid."The case against the ACA, also known as Obamacare, brought by 20 Republican state attorneys general and governors, as well as two individuals. It revolves around Congress effectively eliminating the individual mandate penalty by reducing it to A federal court has ruled that President Donald Trump cannot constitutionally block his followers in Twitter.Judge Naomi Reice Buchwald of the US district court in the Southern District of New York ruled that public officials may not block a person from his Twitter account based on the that person's political views — and Trump's position as President had no bearing on the case.The case was brought by Columbia University's Knight First Amendment Institute and filed against President Trump, former White House communications director Hope Hicks, press secretary Sarah Huckabee Sanders and social media director Dan Scavino.More on this as it develops. 677 as part of the 2017 tax cut bill.The Republican coalition is arguing that the change rendered the mandate itself unconstitutional. They say that the voiding of the penalty, which takes effect next year, removes the legal underpinning the Supreme Court relied upon when it upheld the law in 2012 under Congress' tax power. The mandate requires nearly all Americans to get health insurance or pay a penalty.The Trump administration said in June that it would not defend several important provisions of Obamacare in court. It agreed that the zeroing out the penalty renders the individual mandate unconstitutional but argued that that invalidates only the law's protections of those with pre-existing conditions. These include banning insurers from denying people policies or charging them more based on their medical histories, as well as limiting coverage of the treatment they need.But the administration maintained those parts of the law were severable and the rest of the Affordable Care Act could remain in place.Because the administration would not defend the law, California, joined by 16 other Democratic states, stepped in. They argued that the mandate remains constitutional and that the rest of the law, in any event, can stand without it. Also, they said that eliminating Obamacare or the protections for those with pre-existing conditions would harm millions of Americans.In oral arguments in September, a lawyer for California said that the harm from striking down the law would be "devastating" and that more than 20 million Americans were able to gain health insurance under it.The lawsuit entered the spotlight during the midterm elections, helping propel many Democratic candidates to victory. Protecting those with pre-existing conditions became a central focus of the races. Some 58% of Americans said they trust Democrats more to continue the law's provisions, compared to 26% who chose Republicans, according to a Kaiser Family Foundation election tracking poll released in mid-October.The consumer protections targeted by the administration are central to Obamacare and transformed the health insurance landscape. Their popularity is one of the main reasons GOP lawmakers had such difficulty repealing Obamacare last year."Guaranteed issue" requires insurers to offer coverage to everyone regardless of their medical history. Prior to the Affordable Care Act, insurers often rejected applicants who are or had been ill or offered them only limited coverage with high rates.Under the law's community rating provision, insurers are not allowed to set premiums based on a person's health history. And the ban on excluding pre-existing conditions from coverage meant that insurers cannot refuse to pay for treatments because of a policyholder's medical background.All these provisions meant millions of people with less-than-perfect health records could get comprehensive coverage. But they also have pushed up premiums for those who are young and healthy. This group would have likely been able to get less expensive policies that offered fewer benefits prior to Obamacare. That has put the measures in the crosshairs of Republicans seeking to repeal the law and lower premiums.It's no wonder that politicians on both sides of the aisle promised to protect those with pre-existing conditions during the election. Three-quarters of Americans say that it is "very important" for the law to continue prohibiting health insurers from denying coverage because of medical histories, according to the Kaiser Family Foundation's September tracking poll -- 58% of Republicans feel the same way. And about the same share of Americans say it's "very important" that insurers continue to be barred from charging sick people more. 4383

A high-profile actor recently came clean about a problem millions of Americans are struggling with right now.After 16 years of sobriety, Dax Shepard says he relapsed on a painkiller he was prescribed after a motorcycle accident and surgery. He says he's getting help to stay clean.“At the end of the day, there is still too much stigma out there when it comes to substance abuse disorders and the opioid epidemic,” said Dr. Anand Parekh, Chief Medical Adviser at the Bipartisan Policy Center. “This a public health challenge. We need to support our friends and families, so that they can get the treatment they need.”The Bipartisan Policy Center recently came out with an in-depth look at the billions in federal money going to fight the opioid epidemic. While the amount being spent on prevention, treatment and recovery is increasing, sadly, so are the numbers of drug overdose deaths. The group believes that's in part due to opioid misuse evolving.Synthetic opioids like fentanyl are driving more deaths. More people are using multiple substances. Usage rates among communities of color are increasing.While federal dollars are flowing to areas experiencing the highest numbers of overdose deaths, there's concern it may not be reaching the highest risk groups.“We still don’t have the majority of Americans who have opioid use disorder on the gold standard medication assisted treatment, so that’s really important,” said Parekh.Those who are incarcerated, pregnant women, new moms, IV drug users, and communities of color are some of the highest risk groups.The center believes curbing America’s growing opioid epidemic will require a national addiction treatment system.Their report makes several recommendations, including allowing opioid crisis funding to address multiple substances like cocaine and methamphetamine, putting grant money in to address treatment gaps in diverse communities, and expanding access in correctional settings.They also say we should keep regulatory changes made during the pandemic to give people easier access to medication, and we should remove certain special requirements, so more health care providers can prescribe and treat opioid addiction with medication. 2209

A highly anticipated audit of the city's water-billing practices could be delayed. City Auditor Eduardo Luna made the comments Thursday at the city's first public hearing after hundreds of residents complained about mysteriously high water bills. "Some of the key billing data that we're looking for may be delayed, they're looking about providing that to us in about two months, which could potentially have an impact when we complete this audit," Luna said. The city's environment committee - which includes four City Council members - held the meeting in order to question public utilities officials over the water bills.San Diegans have complained for months about spiking bills - some more than ,000. They said the city water department met their concerns with indifference, ultimately leading some to get shut off notices."We sincerely apologize to all customers that have been affected by this situation," said City Public is Utilities Director Vic Bianes. Bianes said the department has added staff to work on resident concerns, is waiving fees for meter tests, and is having supervisors sign off on daily work. The department is also promising not to shut off water for anyone disputing a bil. "You have my word and that of my team that we're doing everything we can to correct this challenging situation," Bianes said.Councilmember Chris Cate said he was glad to see the changes being made."The initial response to these concerns was lackluster," he said. The department says it has refunded 641 bills so far, with the average about 0. Councilman Dave Alvarez, who chaired the meeting, said he's still lacking answers about what caused the spikes."Good news for the consumer," he said. "Not good news for understanding what's happening here."  1811

A House committee issued a scathing report Wednesday questioning whether Boeing and government regulators have recognized problems that caused two deadly 737 Max jet crashes and whether either will be willing to make significant changes to fix them.Staff members from the Transportation Committee blamed the crashes that killed 346 people on the "horrific culmination" of failed government oversight, design flaws and a lack of action at Boeing despite knowing about problems. The committee said the Max complied with FAA safety regulations even though the planes crashed in Indonesia and Ethiopia. Members say this shows a need for reforms. Boeing says it's made changes and it cooperated with House investigators. A message was left seeking comment from the FAA. 772

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