Expansion of Medicaid before ACA did not extend health disparities in cancer surgery

By | August 5, 2018

Find an analysis of the expansion of the New York State Medicaid program, which already has health law in 2010, a significant decrease in the rate of uninsured in it, but with a slight change in racial disparities when it comes to accessing the cancer surgery – an alternative to caring for the cancer complex.

The results published in the Journal advanced keto of the American College of Surgeons, found that the expansion of Medicaid greatly improves access to surgical care for cancer in general, but the proportion of minorities who have surgery for eggs has not changed, a unexpected result

According to the researchers, from Georgetown University and Midestar Health that represent medical research, policy and law, they said their findings can provide useful and timely information on what could lead to the expansion of the Medicaid program, a Federal government program that provides health insurance for people with very limited income. This occurred in 32 states, including the District of Columbia, as part of the ACA.

“This study shows that the expansion of Medicaid in New York, one of the largest expansions in the history of the United States before the Affordable Care Act, has allowed us to improve access to cancer surgery for insureds previously. However, it was not the advantageous preference for racial and ethnic minorities, which are usually explained by the principal investigator in the study, Wadah b Rifai, Director General of the FACS Commission, surgeon and surgeon at Georgetown Lombardi Comprehensive Center for Control of the cancer and head of the surgical oncology department at Georgetown University Hospital Midestar .:

In summary, the researchers say, the expansion of the New York State Medicaid program has two goals: 1) to reduce the number of people without insurance, and 2) to provide high access to people undergoing cancer surgery. .

“There was a sharp decrease in the uninsured, but the proportion of patients belonging to ethnic minorities undergoing cancer surgery through the Medicaid program – about 25 percent of African-Americans and 13 percent of Hispanics – has not changed.” , Explain. Rifai, who also directs the Middle Star Georgetown. Surgical Results Research Center (MG-SORC).

In fact, they discovered that the percentage of minorities in relation to whites who received cancer surgeries did not change in New York before and after the expansion of Medicaid.

“We know that almost 50 percent of the people newly qualified to expand the New York State Medicaid program were minorities, so we expected the expansion to reduce inequalities, that is, both gross numbers and minority employment rates” for increase cancer surgery, explains Thomas Diller, a professor at the McCourt School of Public Policy at Georgetown University and a former senior advisor to the US Department of Health and Human Services. UU In the Obama administration.

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