Now in @NEJM: K Baicker, B Sommers & I review last 10 years’ most rigorous research on how coverage affects health http://bit.ly/2rSHLDl
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1. People are more likely to have a usual source of medical care and to be able to afford needed medical care.
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2. Fewer medical bills are sent to collections. Fewer bankruptcies. Virtual elimination of catastrophic out-of-pocket expenses.
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3. People have greater access to primary and preventive care, chronic illness treatment, and medications.
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4. 15-30% more people get screened for high cholesterol and cancer.
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5. Nearly twice as many patients take necessary diabetes medication.
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6. Depression symptoms (leading cause of disability in US) are reduced by 30%, and more people are diagnosed successfully.
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7. More low-income patients get necessary surgery for colon cancer before it's too late.
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8. Result: 25% more people report being in good or excellent overall health.
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9. Longest study: Medicaid cut mortality 6% over 5 yrs. Biggest gains came from healthcare-amenable dx like heart disease, cancer, infection
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10. The longer people have coverage, the greater the mortality reduction.
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11. Overall, for every ~300 to 800 adults who get coverage, rigorous studies suggest we save one life per year.
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12. Increasing coverage through Medicaid has been at least as effective as doing so through private insurance.
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In sum: Coverage has made people healthier and helped 10s of thousands per year live longer, healthier lives.
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Weakening coverage will increase medical debts, untreated sickness, and deaths.
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Hopefully you and your colleagues are all over the TV in the coming week. Your voices should drive the convo between now and the vote!
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Here's my story on how the
@JohnKasich Ohio Medicaid expansion has saved and is saving me, Medicare & Ohio Medicaidhttps://twitter.com/feedingtubepaul/status/878205189966123008 …
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None of this is rocket science. C'mon... R's must admit this is about money, not about their so-called sanctity of life!!!
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Thank you for laying it out so clearly and unemotionally. Unfortunately, many will refuse to accept fact-based arguments no matter what.
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