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Many writers work across genres. The genre sets the parameters but all kinds of creative adaptation have been attempted: novel to film; poem to play; history to musical. Writers may begin their career in one genre and change to another. For example, historian William Dalrymple began in the genre of travel literature and also writes as a journalist. Many writers have produced both fiction and non-fiction works and others write in a genre that crosses the two. For example, writers of historical romances , such as Georgette Heyer , invent characters and stories set in historical periods. In this genre, the accuracy of the history and the level of factual detail in the work both tend to be debated. Some writers write both creative fiction and serious analysis, sometimes using different names to separate their work. Dorothy Sayers , for example, wrote crime fiction but was also a playwright, essayist, translator, and critic.

The full effect of the repeal of Title I or any of its protections would depend on what would happen to prior law and on interactions with state law. The Health Insurance Portability and Accountability Act, which preceded the ACA, would presumably remain in effect, as would other federal statutes such as the Americans with Disabilities Act, the Genetic Information Nondiscrimination Act, and the mental health parity acts. HIPAA would continue to provide some protection in the group market against pre-existing condition exclusions, as well as guaranteed availability and renewability protections. State law would also govern many of the issues addressed by Title I, particularly in states that have adopted parts of the ACA into their own law or regulations.  But extensive analysis would be necessary to determine the full effect of a repeal of Title I on particular markets and states.  Repeal of any particular provision of Title I, moreover, would be like pulling a thread from woven fabric—it could have implications throughout the law that are difficult to predict, as is the case with repeal of the essential health benefits requirement, discussed below.

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