Declines in health insurance among cancer survivors since the 2016 US elections
Enhanced coverage and access has translated to the diagnosis of cancer at earlier stages of disease and more timely treatment; survivors have benefited from improved affordability and enhanced access to care for chronic disease.4 We obtained 2011–19 data from the annual Behavioral Risk Factor Survei...
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| Vydáno v: | The lancet oncology Ročník 21; číslo 11; s. e517 |
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| Jazyk: | angličtina |
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England
Elsevier Ltd
01.11.2020
Elsevier Limited |
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| ISSN: | 1470-2045, 1474-5488, 1474-5488 |
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| Abstract | Enhanced coverage and access has translated to the diagnosis of cancer at earlier stages of disease and more timely treatment; survivors have benefited from improved affordability and enhanced access to care for chronic disease.4 We obtained 2011–19 data from the annual Behavioral Risk Factor Surveillance System nationwide survey to investigate temporal correlations between the evolving political climate, specific policies, and insurance coverage for cancer survivors. According to the Behavioral Risk Factor Surveillance System, the number of cancer survivors without health insurance steadily declined after the 2010 passage of the Affordable Care Act and implementation of provisions for coverage led to the highest number of people with health insurance (weighted average 619 190 [7·9%] of cancer survivors). Beginning in 2017, progressive destabilisation of the private insurance markets has led to a reversal of insurance gains and a slow increase in the number of people without health insurance consistent with the erosion of Affordable Care Act policies (weighted average 809 631 [9·9%] of cancer survivors in 2019), particularly in states that did not expand Medicaid eligibility (appendix). |
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| AbstractList | Enhanced coverage and access has translated to the diagnosis of cancer at earlier stages of disease and more timely treatment; survivors have benefited from improved affordability and enhanced access to care for chronic disease.4 We obtained 2011–19 data from the annual Behavioral Risk Factor Surveillance System nationwide survey to investigate temporal correlations between the evolving political climate, specific policies, and insurance coverage for cancer survivors. According to the Behavioral Risk Factor Surveillance System, the number of cancer survivors without health insurance steadily declined after the 2010 passage of the Affordable Care Act and implementation of provisions for coverage led to the highest number of people with health insurance (weighted average 619 190 [7·9%] of cancer survivors). Beginning in 2017, progressive destabilisation of the private insurance markets has led to a reversal of insurance gains and a slow increase in the number of people without health insurance consistent with the erosion of Affordable Care Act policies (weighted average 809 631 [9·9%] of cancer survivors in 2019), particularly in states that did not expand Medicaid eligibility (appendix). |
| Author | Moss, Haley A Chino, Junzo Chino, Fumiko Han, Xuesong Yabroff, K Robin |
| Author_xml | – sequence: 1 givenname: Haley A surname: Moss fullname: Moss, Haley A email: haley.moss@duke.edu organization: Division of Gynecologic Oncology, Duke University Medical Center, Durham, NC 27710, USA – sequence: 2 givenname: Xuesong surname: Han fullname: Han, Xuesong organization: American Cancer Society, Atlanta, GA, USA – sequence: 3 givenname: K Robin surname: Yabroff fullname: Yabroff, K Robin organization: American Cancer Society, Atlanta, GA, USA – sequence: 4 givenname: Junzo surname: Chino fullname: Chino, Junzo organization: Division of Radiation Oncology, Duke University Medical Center, Durham, NC 27710, USA – sequence: 5 givenname: Fumiko surname: Chino fullname: Chino, Fumiko organization: Memorial Sloan Kettering Cancer Center, New York, NY, USA |
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| Cites_doi | 10.1056/NEJMp1610717 10.1001/jama.2018.14134 10.1377/hlthaff.2019.00904 |
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| References | Zhao, Mao, Fedewa (bib4) 2020; 70 Griffith, Jones, Bor, Sommers (bib3) 2020; 39 Wilensky (bib2) 2018; 320 Blumenthal, Morone (bib1) 2016; 375 Griffith (10.1016/S1470-2045(20)30623-9_bib3) 2020; 39 Wilensky (10.1016/S1470-2045(20)30623-9_bib2) 2018; 320 Zhao (10.1016/S1470-2045(20)30623-9_bib4) 2020; 70 Blumenthal (10.1016/S1470-2045(20)30623-9_bib1) 2016; 375 |
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| SubjectTerms | Cancer Cancer Survivors - legislation & jurisprudence Health care policy Health insurance Hematology, Oncology, and Palliative Medicine Humans Insurance coverage Insurance, Health - economics Insurance, Health - legislation & jurisprudence Insurance, Health - trends Medically Uninsured - legislation & jurisprudence Patient Protection & Affordable Care Act 2010-US Patient Protection and Affordable Care Act - economics Patient Protection and Affordable Care Act - legislation & jurisprudence Patient Protection and Affordable Care Act - trends Policy Making Politics Risk factors Surveillance Time Factors United States |
| Title | Declines in health insurance among cancer survivors since the 2016 US elections |
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