The Caribbean Dilemma

Last year, more than 31 million people visited the Caribbean, more than half of them from the United States. I was one of them. Together, we contributed $59 billion to the region’s 2019 gross domestic product — accounting for a whopping 50 to 90 percent of the G.D.P. for most of the countries, according to…

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How Ballot Initiatives Changed the Game on Medicaid Expansion

ImageDelivering boxes of ballot initiative petitions to the Missouri secretary of state’s office in Jefferson City in May. Missouri voters will decide whether to expand Medicaid today. Credit…David A. Lieb/Associated Press It was the middle of 2016, and Obamacare supporters were stuck. Nineteen states were refusing to participate in the health law’s Medicaid expansion, which provides…

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