US residents: What big domestic policy improvements have the american people won from congress in the last 30 years?
Interpret improvements as you like. For me it's any large scale reforms or legislative packages designed to improve the country for all or see to the material interests of the majority without overly benefiting the elite.
Any big consumer protection, environmental, infrastructure, or other legislation from Clinton onwards that materially improved the lives of all?
Obamacare and the medicaid expansion comes to my mind. It has obviously improved people's lives but considering how broken the healthcare system remains, and that it was written by the insurance industry to undermine single-payer, it seems to me a mitigated win at best.
Gay marriage and marijuana legalisation but that was the courts and the states although i'm sure the federal government could've stood in the way had they chosen to.
I've only live here since the 2010s so that's all I can think of.
The inflation reduction act is probably the most significant piece of climate change policy in American history and is expected to bring emissions to a little under half 2005 levels.
Also, I think it capped insulin prices at $35 a month? That was the hope anyway.
I'll be paying 380 ish bucks for insulin this coming month, only using my "good, professional job" type insurance to cover some of the cost. It's around 200/mo. Cheaper to buy from Walmart directly without insurance than it is to process it through it at my required pharmacy. I don't know if the insulin caps have taken effect, or if I don't qualify, all I know is I'm getting screwed because I'm alive and want to stay that way.
The rest of the policy seems cool, but won't be if it pans out like the insulin crap.
Goddamn, America you never cease to find new ways to disappoint me.
It seems to vary state by state, though also for anyone on medicaid/medicare. You might be screwed by that professional job insurance!
I dunno if it helps but some googling took me to this diabetes resource Which seemed pretty good. Might be worth checking as this seems like stuff you have to look into vs having it happen automatically because why not screw us one more time?
Americans just won't help them goddamn selves. The same people who piss and moan about socialized medicine are chapping at the bit to install the orange shitbag as a dictator. These people are dead set on being rotten to the core.
Someone tried to explain this to me once. They said that the original formulas for insulin are really cheap, it's just the manufacturers have all agreed to only make the expensive formulas to maximize profits since it's not in their best interest otherwise.
Here in Sweden insulin is free. Although we have universal healthcare most medical things cost a little, up to about $230/year then any medication or procedure is free.
Insulin, and related equipment and so on, doesn't even cost a little for the patient here and is completely free. It does of course cost our government and taxpayers money, our government pays about $0.09 per person per day for insulin.