“Get ready for Hillary Clinton 4.0. More than 30 years in the making, this new version of Mrs. Clinton, when she runs for president in 2020, will come full circle—back to the universal-health-care-promoting progressive firebrand of 1994.”
Go for it. Can’t wait to see her debate President Trump!
Better than Drudge Report. Check out Whatfinger News, the Internet’s conservative frontpage founded by ex-military!
We must stop allowing the devils of MSM dictate our language.
The thousands of Hondurans and Guatemalans are NOT a “migrant caravan”.
They are INVADERS.
And as you can see from news videos and the pic below, like the Muslim invaders in Europe, the Central American invaders are mainly young, military-age men.
According to Breitbart, the migrant caravan invaders originated in Honduras when about 1,300 “migrants” began an organized march to Mexico toward the U.S. border. Despite the Mexican government’s announcement it would enforce immigration laws and turn back those who do not have a visa, the “caravan” grew in size to more than 4,000.
Yesterday, the migrants invaders broke through a flimsy border fence on Mexico’s southern border and swarmed into Mexico like locusts.
Here’s a dramatic video captured and posted to Facebook by Noticias Telemundo, NBC Universal’s Spanish-American language Telemundo News:
Reuters reported yesterday that the border breach took place in the town of Tecun Uman at the Mexico-Guatemala border. The invading horde broke through the border fence “and onto a bridge leading to Mexico, only to be halted by dozens of Mexican police in riot gear.” Mexican police say “a few” officers were injured in clashes.
In a televised address, Mexican President Enrique Pena Nieto called the border breach “unprecedented” and accused some migrants of attacking police: “Mexico does not and will not allow (people) to enter its territory illegally, let alone violently.”
Late yesterday, the governments of Honduras and Guatemala said they were mobilizing to assist the return of Honduran migrants to their homeland. Honduran President Juan Orlando Hernandez said he had spoken to his Guatemalan counterpart Jimmy Morales for clearance to send civil protection personnel to help the Hondurans and to find transport for those wanting to return. “We’ll continue this operation for as long as is necessary,” Hernandez said in a post on Twitter. Guatemala’s government tweeted that Hernandez would meet Morales today in Guatemala City to implement a strategy for returning the Honduran migrants.
According to Reuters, Central American “emigrants” from Mexico, Guatemala and Honduras make up the bulk of people now caught trying to enter the United States illegally every year, and that “several migrants” (i.e., INVADERS) at the Guatemala-Mexico border spoke of entire neighborhoods leaving their homes to join the trek invasion after news circulated on social media of a call for a new “caravan” to Mexico six months after the previous one.
President Trump has warned the caravan invasion must be stopped before it reaches the United States, and that all financial aid to Central American countries will be rescinded if the migration was not halted. On Thursday, he threatened to send U.S. troops to close and protect America’s southern border if Mexico did not stop the invasion. Speaking in Scottsdale, Arizona yesterday, Trump said he “appreciated very much” Mexico’s efforts to stop the caravan, but that “If that doesn’t work out, we’re calling up the military – not the (National) Guard – we’re calling up the military. They’re not coming into this country.”
Mr. President (@realDonaldTrump), the time for threatening words is over. It is time for action. Send a battalion of our military to the border to show Mexico-Guatemala-Honduras and the American people you mean what you say.
Better than Drudge Report. Check out Whatfinger News, the Internet’s conservative frontpage founded by ex-military!
Seattle Times: When Donald Siefken drove up to the Seattle VA hospital emergency room earlier this year with a broken foot, all he asked for was a little help getting inside. Instead, a hospital employee who answered Siefken’s cellphone call told him to call 911 himself, then hung up on him, Siefken said.
Frustrated to tears, the 64-year-old retired truck driver and Army vet from Kennewick placed the emergency call while parked just feet away from the ER entrance. “They won’t come out and get me, do you believe that?” Siefken asked an emergency dispatcher, his voice wavering. “They told me to call 911 and hung up on me.”
In response to inquiries about Siefken’s case, a VA spokesman initially told The Seattle Times the hospital’s response was appropriate. “I know it sounds counterintuitive because someone is just 10 feet away, but it is our policy to do that,” said Chad Hutson, spokesman for the Veteran Affairs Puget Sound Health Care System. “Our policy is no different than Harborview or Swedish or other hospitals in Washington.”
But that’s not the case. And, after a reporter requested Siefken’s medical file and other records, the hospital changed its story, issuing a written statement earlier this month.
“After a complete review regarding this Veteran’s visit to the VA Puget Sound Seattle campus emergency room, we have determined we did not do the right thing to ensure the Veteran had assistance into the emergency room,” the statement said. It added that ER personnel “should have called the appropriate staff to come and assist the patient, ensuring he made it into the emergency room safely.” The hospital now plans “corrective actions to ensure this does not happen again to one of our Veterans,” the statement said.
On Tuesday, Dr. William Campbell, the hospital’s chief of staff, also met with Siefken to apologize. “He first called me on Friday, and he was all over himself apologizing,” Siefken said, before Tuesday’s meeting. Citing privacy concerns, the VA declined The Times’ request to observe Siefken’s meeting with Campbell.
“Just wouldn’t listen”
Siefken’s odyssey to a formal apology began on the afternoon of Feb. 27.
While getting ready to drive his wife from their Kennewick home to catch a red-eye flight at Seattle-Tacoma International Airport, Siefken “stepped down funny and heard a snap,” he said. During the long drive, his foot started to swell and hurt. “So I dropped my wife off at the airport, and headed right up to the VA.” By the time Siefken arrived, shortly after 3:30 a.m., his foot had swollen to the “size of a football” and was throbbing with pain, he said.
Siefken parked outside the ER on the ambulance roundabout and, because he couldn’t walk, called the front desk for help. The worker who answered “couldn’t for the life of him understand why someone from Kennewick was trying to get treated in Seattle,” Siefken said. “I tried and tried to explain it to him, but he just wouldn’t listen.” After an argument, Siefken said, the employee told him, “ ‘No, we’re not going to come get you. You’re going to have to call 911 and you’ll have to pay for that.’ ”
Siefken dialed 911 at about 3:40 a.m., records show. “They won’t come out and get me in a wheelchair,” he told a dispatcher. “How far away from the building are you?” she asked. “Well, I’m right by the ambulance entrance,” he said.
By 3:47 a.m., a Seattle fire captain and three firefighters manning Engine Company 30 arrived to wheel Siefken into the ER. Staff members examined him, took X-rays, put a boot on his foot and prescribed Hydrocodone for his pain.
Siefken, who declined to take the medication for fear he’d be unsafe to drive, drove back home to Kennewick after the hospital wouldn’t put him up for the night. He arrived four hours later, took a painkiller and crawled into bed.
When The Times asked about the case, Hutson initially said the hospital’s policy — like all other VA and private hospitals — was to call 911 to summon emergency medical responders to handle such a situation. “It has to do with liability and to make sure, like in this case, that the right personnel are there to safely extract the person from the vehicle,” Hutson said. (Hospital personnel aren’t the “right personnel” to safely move a patient?)
He added that the VA employee who talked to Siefken had asked, “ ‘Can you call 911?’ And he said, ‘yes.’ This was not an emergency situation, so we didn’t need to make the call for him.”
But that’s not how it happened, Siefken said. “My pain level was a 10 on a scale of 10,” he said, “and they just hung up on me.”
At least one other hospital and the Washington State Hospital Association noted hospital policies for such situations can vary.
“If we have a person that comes up our ambulance ramp in their personal vehicle and can’t make it in, we will transfer them into the emergency department,” said Susan Gregg, spokeswoman for Harborview Medical Center.
Against federal law
A federal law called the Emergency Medical Treatment and Labor Act (EMTALA) generally requires most hospitals to conduct a medical screening of anyone who shows up seeking emergency treatment. The law’s so-called “250-yard rule” clarifies that hospitals have an “affirmative obligation” to treat patients — whether they make it inside an ER or not — when they arrive on a hospital campus.
“If you are close to the emergency department, they should basically come up and wheel you into the hospital,” said Barbara Tomar, federal affairs director for the Washington, D.C.-based American College of Emergency Physicians.
EMTALA applies primarily to hospitals that accept Medicare and Medicaid patients. The law doesn’t technically apply to VA hospitals, but the VA voluntarily complies with its policies to provide emergency care “to individual patients presenting to the Emergency Department,” the agency’s Emergency Medicine Handbook shows.
Yet, even in its written statement conceding it mishandled the case, Seattle’s VA hospital noted it does not consider Siefken’s situation an emergency. “Policies used to make the recommendation to call 911 for assistance, at the time of the emergency room visit, did not apply to this particular situation due to the nonemergent needs of the Veteran,” the statement said.
Tomar, whose organization represents 33,000 trained emergency doctors, said a broken foot can pose complications and is widely considered an injury that warrants emergency care subject to the federal law.
On Tuesday, while waiting to meet the hospital’s chief of staff, Siefken said his foot has not fully healed. “They said they’re sorry and they’re going to change things so this doesn’t happen again,” Siefken added. “That’s all I really wanted.”
Remember how the IRS under the Obama administration maliciously targeted conservatives, for which IRS officials like Lois Lerner were never held accountable?
Judicial Watch, the nonpartisan citizens’ watchdog group, has uncovered evidence that it wasn’t just Democrats: Republican Senator John McCain (Arizona) also urged the IRS to politically target individuals and non-profit groups for special auditing, for the express purpose of ruining them financially.
Cover photo of The Atlantic, October 2008.
Yesterday, June 21, 2018, Judicial Watch issued this stunning press release:
Judicial Watch today released newly obtained internal IRS documents, including material revealing that Sen. John McCain’s former staff director and chief counsel on the Senate Homeland Security Permanent Subcommittee, Henry Kerner, urged top IRS officials, includingthen-director of exempt organizations Lois Lerner, to “audit so many that it becomes financially ruinous.”Kerner was appointed by President Trump as Special Counsel for the United States Office of Special Counsel.
The explosive exchange was contained in notes taken by IRS employees at an April 30, 2013, meeting between Kerner, Lerner, and other high-ranking IRS officials. Just ten days following the meeting, former IRS director of exempt organizations Lois Lerner admitted that the IRS had a policy of improperly and deliberately delaying applications for tax-exempt status from conservative non-profit groups.
Lerner and other IRS officials met with select top staffers from the Senate Governmental Affairs Committee in a “marathon” meeting to discuss concerns raised by both Sen. Carl Levin (D-MI) and Sen. John McCain (R-AZ) that the IRS was not reining in political advocacy groups in response to the Supreme Court’s Citizens United decision. Senator McCain had been the chief sponsor of the McCain-Feingold Act and called the Citizens United decision, which overturned portions of the Act, one of the “worst decisions I have ever seen.”
[Note:Citizens United v. Federal Election Commission, 558U.S. 310 (2010), is a landmark U.S. constitutional law, campaign finance, and corporate law case dealing with regulation of political campaign spending by organizations. On January 21, 2010, the Supreme Court ruled (5–4) that the free speech clause of the First Amendment to the Constitution prohibits the government from restricting independent expenditures for communications by nonprofit groups, for-profit corporations, labor unions, and other associations.]
In the full notes of an April 30 meeting, McCain’s high-ranking staffer Kerner recommends harassing non-profit groups until they are unable to continue operating. Kerner tells Lerner, Steve Miller, then chief of staff to IRS commissioner, Nikole Flax, and other IRS officials, “Maybe the solution is to audit so many that it is financially ruinous.” In response, Lerner responded that “it is her job to oversee it all:”
Henry Kerner asked how to get to the abuse of organizations claiming section 501 (c)(4) but designed to be primarily political. Lois Lerner said the system works, but not in real time. Henry Kerner noted that these organizations don’t disclose donors. Lois Lerner said that if they don’t meet the requirements, we can come in and revoke, but it doesn’t happen timely. Nan Marks said if the concern is that organizations engaging in this activity don’t disclose donors, then the system doesn’t work. Henry Kerner said that maybe the solution is to audit so many that it is financially ruinous. Nikole noted that we have budget constraints. Elise Bean suggested using the list of organizations that made independent expenditures. Lois Lerner said that it is her job to oversee it all, not just political campaign activity.
Judicial Watch previously reported on the 2013 meeting. Senator McCainthen issued a statementdecrying “false reports claiming that his office was somehow involved in IRS targeting of conservative groups.”The IRS previously blacked out the notes of the meeting but Judicial Watch found the notes among subsequent documents released by the agency.
Judicial Watch separately uncovered that Lerner was under significant pressure from both Democrats in Congress and the Obama DOJ and FBI to prosecute and jail the groups the IRS was already improperly targeting. In discussing pressure from Senator Sheldon Whitehouse (Democrat-Rhode Island) to prosecute these “political groups,” Lerner admitted, “it is ALL about 501(c)(4) orgs and political activity.”
The April 30, 2013 meeting came just under two weeks prior to Lerner’s admission during an ABA meeting that the IRS had “inappropriately” targeted conservative groups. In her May 2013 answer to a planted question, in which she admitted to the “absolutely incorrect, insensitive, and inappropriate” targeting of Tea Party and conservative groups, Lerner suggested the IRS targeting occurred due to an “uptick” in 501 (c)(4) applications to the IRS but in actuality, there had been a decrease in such applications in 2010.
On May 14, 2013, a report by Treasury Inspector General for Tax Administration revealed: “Early in Calendar Year 2010, the IRS began using inappropriate criteria to identify organizations applying for tax-exempt status” (e.g., lists of past and future donors). The illegal IRS reviews continued “for more than 18 months” and “delayed processing of targeted groups’ applications” in advance of the 2012 presidential election.
All these documents were forced out of the IRS as a result of an October 2013 Judicial Watch Freedom of Information (FOIA) lawsuit filed against the IRS after it failed to respond adequately to four FOIA requests sent in May 2013 (Judicial Watch, Inc. v. Internal Revenue Service (No. 1:13-cv-01559)). Judicial Watch is seeking:
All records related to the number of applications received or related to communications between the IRS and members of the U.S. House of Representatives or the U.S. Senate regarding the review process for organizations applying for tax exempt status under 501(c)(4);
All records concerning communications between the IRS and the Executive Branch or any other government agency regarding the review process for organizations applying for tax exempt status under 501(c)(4);
Copies of any questionnaires and all records related to the preparation of questionnaires sent to organizations applying for 501(c)(4) tax exempt status.
All records related to Lois Lerner’s communication with other IRS employees, as well as government or private entity outside the IRS regarding the review and approval process for 501 (c)(4) applicant organizations.
“The Obama IRS scandal is bipartisan – McCain and Democrats who wanted to regulate political speech lost at the Supreme Court, so they sought to use the IRS to harass innocent Americans,” said Judicial Watch President Tom Fitton. “The Obama IRS scandal is not over – as Judicial Watch continues to uncover smoking gun documents that raise questions about how the Obama administration weaponized the IRS, the FEC, FBI, and DOJ to target the First Amendment rights of Americans.”
Born in Munich, Germany, Henry Kerner was appointed by President Trump as special counsel for the U.S. Office of Special Counsel. Please contact President Trump and your representatives in Congress to demand that Kerner be removed from the Office of Special Counsel, and prosecuted to the full extent of the law:
Contact your reps: https://www.usa.gov/Contact/Elected.shtml
Update (June 23):
I sent President Trump a message via his Twitter and the White House contact form. This is the immediate response I received from the White House:
Thank you for contacting the White House. We are carefully reviewing your message.
President Donald J. Trump believes the strength of our country lies in the spirit of the American people and their willingness to stay informed and get involved. President Trump appreciates you taking the time to reach out.
From Fox News: A new government watchdog group found that the U.S. Department of Veterans Affairs facility in Denver violated policy by keeping improper wait lists to track mental health care that veterans received.
Investigators with the VA Office of Inspector General confirmed whistleblower and former VA employee Brian Smother’s claim that staff kept unauthorized lists instead of using the department’s official wait list system. That made it impossible to know if veterans who needed referrals for group therapy and other mental health care were getting timely assistance, according to the report. The internal investigation also criticized record-keeping in PTSD cases at the VA’s facility in Colorado Springs.
Patients there often went longer than the department’s stated goals of getting an initial consult within a week and treatment within 30 days, investigators found. In one case, a veteran killed himself 13 days after contacting the clinic, which was supposed to see him within a week. Investigators said the unofficial lists did not always identify the veteran or requested date of care, and they could not determine how many veterans were waiting to receive help and for how long, even with the help of staff at the facilities.
“My worst fears have been realized in this Inspector General’s report that Chairman Johnson and I demanded,” Colorado Republican Senator Cory Gardener said in a statement. “It highlights even more VA mismanagement and lack of accountability in Colorado. This cannot happen again, and it’s time for the VA to finally wake up and ensure our men and women are getting the best care possible. I will continue to work with Chairman Johnson to ensure the accountability that somehow the VA refuses to accept.”
Smothers, who worked at the VA in Denver as a peer support specialist on the post-traumatic stress disorder clinical support team, informed Gardner and his fellow senator, Ron Johnson of Wisconsin, last about the VA facilities in Denver and nearby Golden using wait lists for mental health services from 2012 until last September. Gardner (I think they mean Smothers here) resigned from his post at the VA shortly after going public, citing retaliation from VA officials in Colorado.
“Putting veterans on secret wait lists is not acceptable,” Wisconsin Republican Sen. Ron Johnson said in a statement. “The VA should implement changes to provide the highest quality care for our veterans and hold wrongdoers accountable. I thank Brian Smothers, the whistleblower who bravely came forward to shed a light on these unacceptable practices at the VA so they can be prevented in the future.”
Speaking to the Associated Press, Smothers said he was disappointed the report didn’t make clearer that VA staff knew full well what they were doing. “We renamed the files ‘interest lists’ so people wouldn’t know we were breaking the rules” on how to maintain wait lists, Smothers said.
The VA Eastern Colorado Health Care system said in a statement that while it agreed with much of the report’s findings it bristled at the idea that its wait lists were “secret.” The statement says that “nothing about this process was secret” and that it was discontinued once staff became aware it violated VA policies.
From Fox News: Susan Rice, the Obama national security adviser under fire over her alleged involvement in the “unmasking” of Trump associates during the 2016 presidential election, suggested in a fresh interview that race and gender might be playing a role in the scrutiny she’s faced.
In an interview with journalist Michael Tomasky for New York Magazine, Rice reportedly questioned the criticism she’s faced dating back to the Benghazi controversy. “Why me? Why not Jay Carney, for example, who was then our press secretary, who stood up more?” she asked.
Tomasky noted in the piece that Carney “isn’t an African-American woman, of course” and apparently asked Rice whether that is the key factor. Rice, in response, left the door open: “I don’t know… I do not leap to the simple explanation that it’s only about race and gender. I’m trying to keep my theories to myself until I’m ready to come out with them. It’s not because I don’t have any.”
But Rice mentioned other prominent female figures – like Hillary Clinton and Condoleezza Rice – who faced “ad hominem” attacks, suggesting a correlation.
Asked about the comments, a Republican Capitol Hill source pushed back. “This is screaming out for attention… She’s saying I don’t know why they all started picking on me to begin with.” As to the suggestion of race and gender being a factor, the source countered, then “why would there be a subpoena for a white male?”
That was a reference to the fact that Rice is not the only focus of the congressional probe into unmasking. Investigators have issued subpoenas to three different agencies: NSA, CIA and FBI.
Those subpoenas have asked for unmasking information related to three individuals: former CIA Director John Brennan, former U.S. Ambassador to the United Nations Samantha Power, and Rice. She’s not the only focus of congressional frustration, either. Sen. Lindsey Graham, R-S.C., had a tense exchange with a top intelligence community lawyer at a Senate Judiciary Committee hearing on Tuesday where he complained he still doesn’t have an answer on whether his communications have been monitored.
“Am I ever gonna get [the response] in my lifetime?” he asked.
Rice told Judy Woodruff on PBS on March 22 that she “knew nothing” about the unmasking of Trump associates. But weeks later on MSNBC, she admitted she sometimes sought out the identities of Trump associates who communicated with foreigners, a request known as “unmasking” in the intelligence community. But “I leaked nothing to nobody,” Rice told MSNBC.
Rice initially became a target of Republican criticism back in 2012 for giving misleading information about the origin of the Benghazi terror attack. On Sept. 16, 2012, just days after the attack, Rice appeared on all five Sunday political talk shows to claim the Benghazi attack spun out of a protest over an anti-Muslim video produced in California.
Former CIA Director David Petraeus reportedly told lawmakers later that the intelligence community considered the attack an act of terrorism at the time. Four Americans were killed in Benghazi, including U.S. Ambassador to Libya Chris Stevens.
These libtards apparently think 1) we care about their opinions and 2) you are too stupid to figure out how to contact your senator.
Know who to boycott.
From Daily Mail: The looming vote on the controversial Senate Republicans’ health care bill has motivated Hollywood to take part in the rancorous debate. A-listers Jennifer Lawrence, Jon Hamm and Lena Dunham, joined a plethora of 25 more celebrities including Aubrey Plaza, Padma Lakshmi, Suki Waterhouse, Elisabeth Moss, Spike Jonze, Amy Poehler and Brie Larson among many others to create a video on Friday supporting Planned Parenthood.
In the opening frame, superimposed text reads ‘these famous faces want to help you reach your representative.’
A number of celebrities follow with their names before the actual message of the video starts with superstar director of Her and Being John Malkovich Spike Jonze.
The message ‘We need you to contact your United States senator and you can do that by visiting istandwithpp.org/call’ is then carried on by several more celebrities.
After an example of how to leave a message for senators suggesting a no vote for ‘any attempt to defund Planned Parenthood,’ a more personal message is expressed. ‘This is nothing more than a blatantly political attempt to do whatever it takes to attack women’s health and rights and take health care away from the people who need it the most,’ declare another series of celebrities.
Famous activist Gloria Steinem also appears, saying ‘the right to decide our own bodily future is the most basic of all human rights.’
In a statement accompanying the release of the video, Cecile Richards, president of Planned Parenthood Action Fund, said: ‘We are so grateful to have the support of so many artists, many of whom have themselves relied on Planned Parenthood for health care and who understand the importance of speaking out.’
‘This support is especially important right now as the Senate is jamming through a bill that would block millions of women from getting birth control and cancer screenings at Planned Parenthood. Now is the time to speak out. One in five women in this country rely on Planned Parenthood for care. They will not stay silent as politicians vote to take away their care and their rights.’
Anticipating its universal unpopularity, Senate Republicans led by Mitch McConnell crafted the bill in secret and only released the actual text of the bill earlier this week.
The bill would end Obama’s tax penalties on people who don’t buy insurance – effectively ending the so-called individual mandate – and on larger companies that don’t offer coverage to their workers, according to AP.
It would offer less generous subsidies for people than Obama’s law but provide billions to states and insurance companies to buttress markets that in some areas have been abandoned by insurers, and has language blocking federal money Planned Parenthood.
Democrats said the measure would result in skimpier policies and higher out-of-pocket costs for many and erode gains made under Obama that saw roughly 20 million additional Americans gain coverage.
Obamacare going as planned. Let’s hope we can get rid of this monstrosity.
From Yahoo: While Republicans rewrite the Affordable Care Act in Washington, the future of the current law has grown hazier with the nation’s third-largest health insurer completely divorcing itself from state-based insurance markets. Aetna said late Wednesday that it won’t sell individual coverage next year in its two remaining states — Nebraska and Delaware — after projecting a $200 million loss this year. It had already dropped Iowa and Virginia for next year. The insurer once sold the coverage in 15 states, but slashed that to four after losing about $450 million in 2016.
The government-backed marketplaces are a pillar of the Obama-era federal law because they allow millions of people to buy health insurance with help from income-based tax credits. But insurers like Humana, and now Aetna, have been fleeing that market, and the remaining coverage options are growing thin. Other companies like the Blue Cross-Blue Shield insurer Anthem say they are wary of returning without a guarantee that the government will provide cost-sharing subsidies that reduce expenses like co-payments. Those are separate from the tax credits that help pay premiums. The White House has assured lawmakers it will continue paying the subsidies, but it has offered no long-term guarantee.
About 12 million people bought coverage for this year on the exchanges, and every market had at least one insurer offering coverage. But a growing number were down to one.
Companies are in the middle of figuring out their prices and coverage plans for next year, and insurance experts expect some holes to develop in those marketplaces.
“All it takes is one insurance company to exit, and that can create panic for other insurers and they pull out too,” said Cynthia Cox, a health insurance expert for the nonprofit Kaiser Family Foundation, which studies health care. “Insurers don’t want to be the last one holding the bag.”
The federal law prevents insurers from rejecting patients based on their health, so if competitors pull out, the last insurer may be left covering all the high-cost patients in that market.
Metropolitan or highly populated areas are still expected to draw several insurers. But rural areas may not be attractive to insurers looking to cut losses. They generally have a smaller, older population.
Ultimately, insurers with the most common brand in health insurance, Blue Cross-Blue Shield, will decide the fate of the marketplaces. Many of those plans specialize in individual insurance and have a long-standing presence in their markets. They also are the only remaining option on exchanges in nearly a third of the nation’s more than 3,100 counties.