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As the future of Obamacare heads to the supreme court, so does trans rights

Starting in 2009, Jack Jimenez’s face would feel tingly and his vision would turn wonky. Sometimes it felt like he was getting a deep-tissue head massage, even when no one was touching him. The now 37-year-old from California tried for five years to get help from various doctors, many of whom told him he was just anxious.

“Of course I’m anxious. But also legit I have a problem. Every single doctor was just terrible,” he said.

At the time, Jimenez was working as a caregiver. “I worked 24-hour shifts because a client could die at any second,” he said. “They weren’t required to give us insurance because we were all part-time employees.”

He tried to obtain private health insurance, only to be denied because of a pre-existing condition – his gender dysphoria diagnosis. Jimenez is trans and him living his true identity was reason enough to deny him coverage.

It wasn’t until 2014 when the Affordable Care Act (also known as the comprehensive healthcare reform law and as Obamacare) was implemented, that Jimenez was able to get insurance, the specialist treatment he needed, and a diagnosis because the law eliminated exclusions for pre-existing conditions. It turned out he had pseudotumor cerebri, a condition in which spinal fluid leaks into the skull. The symptoms mimic those of a brain tumor, including vision issues, headaches and ringing in the ears.

“It’s that very first doctor appointment. It’s unbelievable,” he said. “To have people look at you and go, ‘Oh, OK. Yes. I can see why that’s a big concern. Let me write down these three pages of weird symptoms that you’ve been having and let’s do some tests and figure out what the hell is wrong with you,’” he said. “Nobody, nobody had really done that at all.”

After several rounds of tests and multiple MRIs, he started treatment and is healthy with minimal symptoms today. But the law that allowed Jimenez to finally find some relief is at risk of being entirely done away with.

The Affordable Care Act (ACA) is scheduled to be argued before the supreme court on 4 November. The lawsuit – which has been widely panned by legal experts – was brought by 19 Republican state attorneys general and seeks to have the entire landmark healthcare law tossed out. The future of the ACA was a common theme during hearings for Judge Amy Coney Barrett’s nomination to the high court – now that she has been confirmed, she will soon be hearing California v Texas, a case challenging the landmark healthcare law.


Source: US Politics - theguardian.com


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