The number of African Americans who lacked health insurance dropped dramatically in 2014's first quarter compared to 2013's fourth quarter thanks to the Patient Protection and Affordable Care Act, which Republicans threaten to repeal if they win control of both houses of Congress in November's national elections. The Gallup-Healthways Well-Being Index reported on Monday that the uninsured rate for African Americans fell from 20.9 percent in 2013's fourth quarter to 17.6 percent in 2014's first quarter, a drop of 3.3 percentage points.

Under the healthcare law, those who do not obtain coverage for 2014 face financial penalties of up to 1 percent of their yearly household income, or $95 a person, whichever amount is higher, although even before the deadline extension was announced, there was an array of exemptions for hardships and other reasons. While most Americans know that the law includes fines for those who do not buy coverage, Kaiser found that just 39 percent of the uninsured were aware of the Monday deadline. 

The first few months of a refugee’s life in the U.S. are filled with new experiences. And with doctor’s visits. All that initial care is covered by federal medical assistance. But when that coverage ends, refugees may still have outstanding health issues and no way to pay for them. Gov. Tom Corbett isn’t expanding Medicaid in Pennsylvania this year. It’s estimated that there are more than 600,000 people who could benefit from the Medicaid expansion, but for people like Tamang who face a disappointing reality, even the cheapest insurance plan would still cost him too much.