US federal judge rules Obama healthcare law unconstitutional

Fort Worth judge issued his decision, agreeing with 20 states challenging the law, on the eve of the 2019 sign-up deadline

A US federal judge in Texas ruled on Friday that the Affordable Care Act, commonly known as Obamacare, is unconstitutional, a decision that was likely to be appealed to the supreme court.

US district judge Reed O’Connor in Fort Worth agreed with a coalition of 20 states that a change in tax law last year eliminating a penalty for not having health insurance invalidated the entire Obamacare law.

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The most screwed-up employee perk in America (and the man who just might fix it)

The last time Atul Gawande started a company, he named it after a Greek myth.

Ariadne Labs, based in Boston, Massachusetts—where Gawande also works as a surgeon at Brigham and Women’s Hospital and teaches at Harvard—has been trying since 2012 to innovate in an area that has historically resisted innovat...

Has Obamacare become a winning issue for Democrats?

Democrats were once reluctant to engage with attacks on the law. But in the midterms campaign, the tide has turned

Donald Trump would like to believe it’s all about him. And there is no doubt that the extraordinarily divisive US president has helped drive turnout on both sides of the midterm elections.

But after their catastrophe of 2016, when Hillary Clinton was criticised for lacking a clear message to compete with “Make America great again”, Democrats realised that a pure anti-Trump message would not be enough. Instead, many have maintained a laser-like focus on a single issue: protecting Americans’ healthcare.

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In about-face, Republicans make fixing Obamacare central to re-election push

Republicans wanted to gut Obamacare. Now, a wave of candidates advertise support for the ‘pre-existing conditions’ provision

In a House race in rural upstate New York, a congressional district containing some counties where Trump won by more than 22%, the Republican incumbent Elise Stefanik is campaigning on what would have been unthinkable five years ago: fixing Obamacare.

Stefanik is one of a wave of Republicans who, in the final weeks of the midterms election campaign, have ...

Universal healthcare was unthinkable in America, but not any more | Adam Gaffney

A single-payer healthcare system appears closer than ever but to make it a reality we must avoid the pitfalls of the past

Barack Obama dropped a bombshell into the healthcare debate roiling the Democratic party last Friday. “Democrats aren’t just running on good old ideas like a higher minimum wage,” he said, “they’re running on good new ideas, like Medicare for All …” His endorsement made headlines, and for a good reason: until recently, real universal healthcare had long resided on...

Trump justice department will stop defending key parts of Obamacare

Administration makes rare decision not to defend federal law in court, pointing to changes in the measure due next year

The Trump administration said in a court filing late on Thursday that it would no longer defend key parts of the Affordable Care Act, a rare departure from the justice department’s practice of defending federal laws in court.

It said that the requirement that people have health insurance – the individual mandate – was unconstitutional and that the entire law, ...

US conservatives use case of terminally ill child Alfie Evans to criticize NHS

Ted Cruz and others have called the legal battle over British child’s treatment a ‘grim reminder’ of socialized medicine

A legal fight in the United Kingdom over whether a terminally ill child should be allowed to leave the country for medical treatment has captured the attention of American conservatives.

The case of Alfie Evans, a 23-month-old child with a neurodegenerative disease that has left most of his brain destroyed, has received extensive coverage from outlets like Fo...

Koch-backed group fights paid sick leave laws as flu sweeps US

The lobbying group that led the assault on Obamacare has targeted movements across the US to ensure workers can get needed time off

This week marks 25 years since Bill Clinton signed the Family and Medical Leave Act, which gives US workers the right to unpaid time off to care for themselves and close family members.

It took another decade for some to win paid sick leave, when San Franciscans approved a ballot initiative in 2006 for private employees to earn an hour of paid sick time for every 30 hours worked. Similar measures now benefit 14 million workers in 32 municipalities and nine states.

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Doctors say new Medicaid rules ‘like asking people to work with an anchor on their back’

Administration’s policy allows states to impose work requirements for people on Medicaid, meaning sick or injured Americans ‘have to go to work, no matter what’

Dr Gary Leroy’s patients are “salt of the earth”: inner-city people working in Dayton, Ohio as dishwashers, car mechanics and patient care assistants.

Related: Medicaid: Trump opens door for states to take away coverage from out-of-work Americans

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Medicaid: Trump opens door for states to take away coverage from out-of-work Americans

Administration unveils major policy shift that could mean millions of Americans could be legally required to hold a job to be on Medicaid

Millions who rely on Medicaid, America’s biggest public health insurance program, could be required to have a job if they want to hold on to their coverage in the future.

The Trump administration has unveiled a major policy shift that offers a path for states seeking to tie Medicaid eligibility to work requirements.

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