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After congressional repeal and replace efforts failed in 2017, the administration advanced other policies that undermine the goals of the ACA and cause greater health risks during a pandemic. These actions have included promoting short term plans (often called junk insurance); diminishing advertising, limiting open enrollment, and decreasing support for enrollment in the federal Marketplace; refusing to pay financial support promised to private insurers bearing unusual risk (recently declared impermissible by the Supreme Court); undermining Medicaid eligibility expansion with novel policies such as work requirements, block grants, and frequent eligibility redeterminations; and other choices that have decreased insurance coverage nationwide. Medicaid is the nation's primary insurer for low-income individuals, a safety net protecting nearly 72 million Americans by paying for medical care and providing a resilient and flexible safety net that responds to the health care needs of the people it serves.
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The Demings moved from Iowa to Wyoming, and in 1917, Edwards entered the University of Wyoming. To fund his education, he worked as a janitor. He graduated in 1921, and went on to the University of Colorado, where he received a M. S. in physics and mathematics. This led towards a doctorate in physics from Yale University. From physics, Dr. Deming gravitated towards statistics. The U. S. Census Bureau hired Dr. Deming in 1940, just at the time that the Bureau shifted its procedure from a complete count to a sampling method. Upon completion of the 1940 census, Deming began to introduce Statistical Quality Control into industrial operations. In 1941, he and two other experts began teaching Statistical Quality Control to inspectors and engineers. Dr. Deming started his own private practice in 1946, after his departure from the Census Bureau. For more than forty years his firm served its clientele--manufacturers, telephone companies, railways, trucking companies, census takers, hospitals, governments, and research organizations.