The Cassidy-Graham Healthcare Bill

I meant to post this yesterday, but accidentally saved it as a draft. So let’s try this again.

Yesterday the New York Times published a print piece that explored how the Cassidy-Graham bill would change the healthcare system. This would, of course, be another attempt to repeal and replace Obamacare. And like previous efforts, this bill would do real damage to the aim of covering individuals. We know the dollar amounts in terms of changes to aid given to states, but in terms of the numbers of people likely to lose their coverage, that would have to wait for a CBO score.

Hyperlinked to the online version of the article
Hyperlinked to the online version of the article

The graphic makes really nice use of the tall vertical space afforded by two columns. (You can kind of see this too in the online version of the article.) At the beginning of the article, above the title even, are two maps that locate the states with the biggest funding gains and cuts. I wonder if the two maps could have been combined into one or if a small table, like in the online version, would have worked better. The map does not read well in the print version as the non-highlighted states are very faint.

The designer chose to repeatedly use the same chart, but highlight different states based on different conditions. This makes the small multiples that appear below the big version useful despite their small size. Any question about the particular length can be referenced in the big chart at the top.

With the exception of the maps at the top of the piece, this was a great piece that used its space on the page very well.

Credit for the piece goes to Haeyoun Park.

Comparing the US Healthcare System to the World

Spoiler, we don’t look so great.

In this piece from the Guardian, we have one of my favourite types of charts. But, the piece begins with a chart I wonder about. We have a timeline of countries creating universal healthcare coverage, according to the WHO definition—of which there are only 32 countries. But we then plot their 2016 population regardless of when the country established the system. It honestly took me a few minutes to figure out what the chart was trying to communicate.

This is the only graphic I'm not sure of in the entire piece.
This is the only graphic I’m not sure of in the entire piece.

However, we do get one of my favourite charts: the scatter plot over time. And in it we look at the correlation between spending on healthcare compared to life expectancy. And, as I revealed in the spoiler, for all the money we spend on healthcare—it is not leading to longer lives as it broadly does throughout the world. And care as you might want to blame Obamacare, the data makes clear this problem began in the 1980s.

Someone's getting cheated out of a lot of money. Oh wait, that's us…
Someone’s getting cheated out of a lot of money. Oh wait, that’s us…

And of course Obamacare is why the Guardian published this piece since this is the week of the Vote-a-rama that we expect to see Thursday night. The Republicans will basically be holding an open floor to vote on anything and everything that can get some measure of repeal and/or replace 50 votes. And to wrap the piece, the Guardian concludes with a simple line chart showing the number of uninsured out to 2026. To nobody’s surprise, all the plans put forward leave tens of millions uncovered.

When all the options look bad, why not work with what you have?
When all the options look bad, why not work with what you have?

It is a fantastic piece that is well worth the read, especially because it compares the systems used by a number of countries. (That is largely the text bit that we do not cover here at Coffeespoons.) I found the piece very informative.

 

Credit for the piece goes to the Guardian graphics department.

Here We Go Again

Well as of last night, we are having yet another vote on AHCA, better known as Trumpcare. I will not get into the details of the changes, but basically it can be summed up as waivers for Obamacare regulations. And as of last night, $8 billion over five years to cover those at high-risk. What about after five years? What if, as experts say, that sum is insufficient and it runs out before five years are up?

This is still a bad bill.

But thankfully we have FiveThirtyEight who looked at support before the Upton amendment—the $8 billion bit—and found that the bill could still fail because of a lack of moderate support.

Round and round we go
Round and round we go

The basic premise is this: In order to get the conservative Freedom Caucus, which scuppered the bill a few weeks ago, on side Ryan et al. had to make the bill more conservative. They likely had to make it cover fewer people at a higher cost. I say likely because Ryan is not sending this to the Congressional Budget Office (CBO) to score the bill, something typically done to see how much it costs and whether it might work. Problem is, by making the bill more conservative, they push away moderate Republicans. Yes, Virginia, they do exist.

Today’s question is whether an $8 billion throw-in will buy in enough moderate votes.

It’s going to be a long day.

Credit for the piece goes to Harry Enten.

How Trumpcare Differs from Obamacare

We are going to have a busy week this week. From the CBO release on Trumpcare costs and coverage to the elections in the Netherlands. Oh, and it might snow a wee bit here in Philadelphia and the East Coast. So let’s dive straight into today’s post, an article all the way from the West Coast and the LA Times.

It looks at a comparison between Trumpcare and Obamacare.

How the changes affect the young, middle-aged, and the elderly by income level
How the changes affect the young, middle-aged, and the elderly by income level

The clearest takeaway is that they are using some pretty good colours here. Because purple.

But in all seriousness, the takeaway from this graphic is that Trumpcare as proposed will cost more for the poor and the elderly. And it will cost especially more for those who live in rural and more isolated areas. And that basically comes down to the fact that Trumpcare will not factor in the local cost of insurance, which generally costs more in non-urban areas.

But for the fullest understanding of the differences, you should read the full piece as it offers a point-by-point comparison.

Credit for the piece goes to Noam N. Levey and Kyle Kim.

A Look Back

Well, we are one day away now. And I’ve been saving this piece from the New York Times for today. They call it simply 2016 in Charts, but parts of it look further back while other parts try to look ahead to new policies. But all of it is well done.

I chose the below set of bar charts depicting deaths by terrorism to show how well the designers paid attention to their content and its placement. Look how the scale for each chart matches up so that the total can fit neatly to the left, along with the totals for the United States, Canada, and the EU. What it goes to show you is best summarised by the author, whom I quote “those 63 [American] deaths, while tragic, are about the same as the number of Americans killed annually by lawn mowers.”

Deaths by terrorism
Deaths by terrorism

I propose a War on Lawn Mowers.

The rest of the piece goes on to talk about the economy—it’s doing well; healthcare—not perfect, but reasonably well; stock market—also well; proposed tax cuts—good for the already wealthy; proposed spending—bad for public debt; and other things.

The commonality is that the charts work really well for communicating the stories. And it does all through a simple, limited, and consistent palette.

But yeah, one day away now.

Credit for the piece goes to Steven Rattner.

The US Abortion Rate

If you have heard enough about the Affordable Care Act, well, you could be listening to the desire to defund Planned Parenthood. Because, while that organisation cannot use any federal funding for abortions, it is the nation’s largest provider of that service. So if you follow that logic, you must strip all federal funds from the organisation.

Yeah, it makes no sense. But whatever, those are part of the Republican plans. But, if you look at the data, abortion rates are now at the lowest level since Roe v. Wade in the 1970s.

The US abortion rate is at its lowest rate since Roe v. Wade
The US abortion rate is at its lowest rate since Roe v. Wade

Mole hill, meet Mountain.

Credit for the piece goes to Katie Park.

The Affordable Care Act You Likely Know as Obamacare

It just won’t die. Grandma, that is, in front of the death panels of Obamacare. Remember those? Well, even if you don’t, the Affordable Care Act (the actual name for Obamacare) is still around despite repeated attempts to repeal it. So in this piece from Bloomberg, Obamacare is examined from the perspective of leaving 27 million people uninsured. In 2010, there were 47 million Americans without insurance and so the programme worked for 20 million people. But what about those remaining 27?

I am not usually a fan of tree maps, because it is difficult to compare areas. However, in this piece the designers chose to animate each section of the tree as they move along their story. And because the data set remains consistent, e.g. the element of the 20 million who gained insurance, the graphic becomes a familiar part of the article and serves as a branching off point—see what I did there?—to explore different slices of the data.

This is a tree map I actually think works well
This is a tree map I actually think works well

So in the end, this becomes one of those cases where I actually think the tree map worked to great effect. Now there is a cartogram in the article, that I am less sure about. It uses squares within squares to represent the number of uninsured and ineligible for assistance as a share of the total uninsured.

I'm not sure the map is necessary here
I’m not sure the map is necessary here

Some of the visible patterns come from states that refused to expand Medicaid. It was supposed to cover the poorest, but the Supreme Court ruled it was optional not mandatory and 19 states refused to expand the coverage. But surely that could have been done in a clearer fashion than the map?

Credit for the piece goes to Jeremy Scott Diamond, Zachary Tracer, and Chloe Whiteaker.

Two Tales of One City

Dickens is not my favourite, but that felt an appropriate title for today’s piece from the Washington Post on Chicago residents’ opinions on, well, Chicago. Turns out there is a notable demographic split on how residents feel about various things in the city.

Some of the issues
Some of the issues

Credit for the piece goes to Emily Badger.

How Moderate is John Kasich

Last night contained one victory for John Kasich. The Ohio governor outlasted all but Trump and Cruz and therefore represents the only establishment candidate. He also supposedly represents the moderate wing of the Republican Party. But within an article on FiveThirtyEight is a map showing how he may not be as moderate as he claims. Kasich has signed legislation creating difficult conditions for clinics and so many have closed.

Abortions and clinics
Abortions and clinics

Credit for the piece goes to Ella Koeze.

An Ebola Treatment Centre

Last week we looked at the BBC and its rendition of an Ebola treatment centre. This week we are looking at the Washington Post and how they treated the same material. As you can imagine, with the same source material, the treatment is fairly similar. I do appreciate the colour applied to the various elements called out in the illustration. Though, to be super nitpick-y, I could probably do less orange with the fence. It becomes a bit distracting from some of the other details.

An Ebola treatment centre
An Ebola treatment centre

Credit for the piece goes to Patterson Clark.