The ADA issued a statement on May 12 stating: “On behalf of the nearly 30 million Americans living with diabetes, the ADA is extremely disappointed by the misinformed statement of Mick Mulvaney, budget director, as reported by The Washington Examiner. His comments perpetuate the stigma that one chooses to have diabetes based on his/her lifestyle. We are also deeply troubled by his assertion that access to health care should be rationed or denied to anyone. All of the scientific evidence indicates that diabetes develops from a diverse set of risk factors, genetics being a primary cause.. Nobody should be denied coverage or charged more based on their health status.”