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Why It Matters: The Affordable Care Act is expanding its reach.Despite a recent warning from former President Donald J. Trump, the front-runner in the race for the 2024 Republican presidential nomination, that he was “seriously looking at alternatives” to the Affordable Care Act, the latest surge in marketplace enrollment is a testament to the law’s enduring power.Legislation passed earlier in the Covid-19 pandemic increased federal subsidies for people buying plans, lowering the costs for many Americans. The Biden administration also lengthened the sign-up period and increased advertising for the program and funding for so-called navigators who help people enroll.“More and…

Three years ago, Jesús Tilano went to a hospital in a thickly forested valley in Colombia with large open lesions on his nose, right arm and left hand. He was diagnosed with leishmaniasis, a parasitic disease that is spread in the bite of a female sand fly and which plagues poor people who work in fields or forests across developing countries.He was prescribed a drug that required three injections a day for 20 days, each one agonizingly painful. Mr. Tilano, 85, had to make repeated expensive bus trips to town to get them. Then his kidneys started to fail, which…

It’s an increasingly common scenario faced by new mothers across the country: A lactation consultant examines their newborn and suggests that cutting a “tongue-tie” may ease their difficulty breastfeeding.The quick procedure, known as a tongue-tie release, involves a dentist or doctor snipping a tight band of tissue connecting the tongue to the bottom of the mouth. In recent years, lactation consultants and dentists have aggressively promoted the procedures, even for babies with no signs of real tongue-ties and despite a modest risk of complications, a New York Times investigation recently found.Many parents, anxious and exhausted, agonize over whether to go…