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Like other forms of social media, it gives us a sense of community and connection with like-minded individuals – not to mention the addictive dopamine drip of kudos clicks, Strava’s equivalent of ‘likes’. Strava has been around since 2009 and has become deeply embedded in cycling culture, becoming a part of our everyday lives and language. Will it be enough to convince them to pay to continue?”
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Dowman adds: “It will be very interesting to see what happens at the end of the 60-day trial period once users have had a chance to explore all the new benefits and functions. Though Strava is offering a long trial period, it is taking away features that were previously free.
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Bonnie Cullison, a Montgomery County Democrat.Whatever the reasons, the sudden changes have left some Strava users feeling unsettled and frustrated. Malcolm Augustine, a Prince George’s Democrat, and Guy Guzzone, a Howard County Democrat who also chairs the Senate Budget and Taxation Committee, would go a long way to providing access to care for many. Nearly 800,000 Maryland adults are not currently covered by dental insurance. Now is the time to correct that oversight. Adults, however, were not given the same priority. His death brought national attention to the issue and, in Maryland, caused an overhaul of Medicaid dental coverage to make sure children would not be similarly neglected in the future.
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In 2007, a lot of Marylanders were aghast to learn of the death of 12-year-old Deamonte Driver who suffered an infection from an abscessed tooth that spread to his brain. As he noted, the Medicaid expansion is overdue. Ben Cardin who has sponsored legislation in Congress to require states to provide adult dental care through Medicaid. Those testifying for the measure last week included U.S. A pilot program run by the Maryland Department of Health since June of 2019 has been helpful in getting dental care for some low-income adults age 21 to 64 but does not cover more costly procedures like dentures or root canals that are viewed as less essential. People of color are more apt to find dental care unaffordable and thus more likely to suffer these related illnesses. And there’s also a clear equity component to this. They are less prone to diabetes, cardiovascular disease, mental health disorders and cancer. Studies show people who get regular dental care are simply healthier. But there’s also another compelling reason: While taxpayers may have to pay more to dentists to provide this coverage, they may very well save a substantial sum by not having to underwrite other forms of health care that result from dental neglect, from those ER visits to substance abuse programs. If helping people living within 133% of the poverty line get needed dental care, as Senate Bill 150/House Bill 6 proposes to do, uses up 1% or 2% of that sum, it would appear to be money well spent. Larry Hogan and others have noted, the state currently has an extra $4.6 billion on hand, which makes this relatively modest expansion of Medicaid easily affordable, at least this year.
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First, Maryland has a budget surplus right now. And while the federal government would cover the majority (60%), the state would eventually be left with a bill for $66.5 million annually and that’s on top of the state’s $12.6 billion Medicaid and Children’s Health Insurance Program (CHIP). According to an analysis prepared by the Department of Legislative Services, adding that coverage would cost tens of millions of dollars per year. But there remains one significant barrier: It comes with a big price tag.
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How could they? Only the states of Alabama and Tennessee do not offer full Medicaid adult dental coverage. No one testified against the measure to alleviate this circumstance. As a result, they suffered or turned to illegal narcotics or ended up with problems so serious they had to be admitted to hospital emergency rooms, or, in extreme cases, they died from infections that might otherwise have been routinely treated. And in Maryland, unlike 47 other states, Medicaid - the taxpayer-subsidized public health program that is supposed to help low-income individuals afford health care - simply did not cover their needs. The reason? They lacked the ability to pay. One by one, medical providers, social workers, dentists and health care advocates gave their brief but sobering accounts to the Senate Finance Committee during a virtual hearing last week with one common theme: They all knew of adults living in Maryland who suffered serious, often debilitating oral health problems and could not get the care they desperately needed.