CHEYENNE, Wyo. – If federal judges overturn the Affordable Care Act, more military veterans would lose their health insurance than the total number of service personnel currently serving in the U.S. Army and Marine Corps combined.

By 2026, 690,000 veterans would become completely uninsured, according to new analysis by the group Families USA.

Stan Dorn, the group’s director of its National Center for Coverage Innovation, says more than 1,000 veterans in Wyoming could lose coverage.

"These are folks who have put their lives on the line for this country,” he points out. “They deserve our support. They do not deserve to have the health care that they need to thrive or even survive ripped away by unelected federal judges."

The Veterans Administration's health system, which is open to all vets, couldn't handle the increased demand if people lose coverage through the ACA.

Plaintiffs in a case currently before the Fifth Circuit Court of Appeals in New Orleans argue that the entire ACA is unconstitutional after Congress removed a key part of the law penalizing people who didn't sign up for insurance.

Plaintiffs say Congress would not have passed the sweeping health law without an individual mandate penalty.

Dorn says congressional majorities did vote to keep the rest of the Affordable Care Act intact when they eliminated the individual mandate penalty, as part of the 2017 tax bill.

He adds children also are at risk if federal courts trump Congress and repeal the ACA. He says insurance companies could legally deny coverage to children with pre-existing conditions, including cerebral palsy, Down syndrome and, in some cases, even asthma.

"These 13 million children with special health care needs could be left out in the cold,” he points out. “Insurance companies could just flatly deny them coverage at the door if they thought that the insurance company might lose money by enrolling these very sick children."

Dorn says in Wyoming alone, more than 27,000 children with special medical needs would lose ACA protections.

If the Fifth Circuit Court decides to repeal the ACA, defendants are expected to appeal the ruling, and the case could reach the U.S. Supreme Court.


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About 200,000 kids in Michigan have asthma, and nearly five million suffer from the condition nationwide. Research from Michigan State University shows school-based asthma therapy helps kids manage their symptoms while reducing medical costs. According to the study, school-based therapy relies on collaboration between school staff, nurses, health care providers, insurers, pharmacies, and families.

Kimberly Arcoleo, Michigan State University nursing professor, said the program began as a randomized controlled trial in Rochester, New York in the late 90's. It was launched by a doctor who noticed the same children repeatedly visiting her clinic for asthma treatment - often missing school.

"She came up with actually the very simple idea, on the face of it, to have the school nurses give the kids their asthma controller medications during the school day," she said.

Arcoleo added that the program allows kids to get at least one of their two recommended doses of asthma medication at school. She said that the therapy costs $1,500 per student but saves up to seven thousand in medical expenses by reducing asthma symptoms.

Eighteen U.S. states have passed legislation allowing schools to give out common asthma medications. Michigan has guidelines for school-based asthma plans, but not always asthma therapy. Arcoleo says an unpublished study shows school-based asthma therapy reduces the amount of time students spend away from the classroom, while improving their behavior.

"So, they're sleeping better at night. They're not waking up cranky and irritable - and so therefore they're not acting out as much in the classroom, or on the bus," she continued.

Arcoleo said team is using six years of data to evaluate the cost of asthma therapy in schools - including medical expenses, staff time, and caregiver work loss. She expects results sometime this year.


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About one in four adults and one in five children suffer from seasonal allergies in Maryland, and experts have tips on how to treat them. You may know the feeling - the runny nose, sneezing, coughing and itchy eyes that come with spring allergies.

Dr. Jody Tversky, associate professor with Johns Hopkins University's Division of Allergy and Clinical Immunology, explained allergic reactions happen when you come into contact with an allergen that prompts the body to produce chemicals called histamines, creating the uncomfortable symptoms. Tversky says nasal allergies in particular can make day-to-day activities much harder.

"Folks with allergies of the nose and sinus tend not to be life-threatening, which is a good thing. But they can cause lots of suffering. Headaches, poor concentration, poor sleep, inability to sleep or breathe through the nose. It's like walking around with a constant cold or sinus infection," Tversky said.

UnitedHealthcare has a fact sheet on fighting seasonal allergies. It says you can run the air conditioners in your home or car, shower before bed, and use air purifiers to reduce pollen levels.

If preventive measures don't work, over-the-counter medication can provide some relief.

Dr. Greg Carvenale, chief medical officer with UnitedHealthcare, said those may not always be effective, and recommends giving them a little time to kick in.

"Taking the same medication and expecting a different result, as the old saying goes, likely won't be successful. So if it's been a week or two of you having continued symptoms without relief of taking some of the over-the-counter medications, it's probably time for you to see your health care professional," he explained.

He also recommended avoiding allergens by staying indoors on windy or high-pollen days between the hours of 5 a.m. and 10 a.m.

Black Maternal Health Week runs through April 17th, and according to the American Heart Association, heart disease is the leading cause of maternal death, in Missouri and across the nation. Black women
are more than three times as likely as white women to die from pregnancy-related heart complications.

Tiara Johnson, a St. Louis resident, was diagnosed ten years ago, at just 25, with peripartum cardiomyopathy or PPCM, a rare type of heart failure in the last month of pregnancy or within five months after giving birth. She says at the time, she was living in Michigan and was initially misdiagnosed before doctors confirmed PPCM.

"Every time it's like, 'Oh it's normal, it's postpartum, it happens to moms.' And the other hospital - where I finally decided, 'I'm going somewhere else, I need a second opinion - and that's where they were able to detect that I was actively in full-blown congestive heart failure at this point," she explained.

Johnson received a heart transplant - but is still paying off the medical bills. She has a 'GoFundMe' page to help. PPCM can mimic pregnancy, so symptoms like fatigue, swelling and being out of breath may signal serious heart trouble and require prompt medical attention. To stay healthy, doctors recommend regular exercise, a balanced diet and avoiding alcohol and smoking.

Risk factors for PPCM include maternal age over 35, high blood pressure, multiple pregnancies and ethnicity, as the condition is more commonly seen in Black women. Johnson emphasized the importance of listening to your body and remembering that self-care isn't optional - it's essential.

"As part of the narrative, you know, as moms, we want to be 'super woman' and do all of the things. But we have to tend to ourselves. Because if we don't care of ourselves first, we can't take care of our children, our spouses or anyone else," she continued.

PPCM affects more than 1,000 women each year in the U.S., though experts say it may be underdiagnosed.