Moving in the Wrong Direction — Health Care under the AHCA

Fiedler, Matthew; Aaron, Henry J.; Adler, Loren; Ginsburg, Paul Β.

doi:10.1056/nejmp1706848

Cited by 8 publications

(4 citation statements)

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“… 29 It is estimated that at least 22 million people will lose health care coverage if the ACA is dismantled, 14 million through loss of expanded Medicaid coverage. 30 In many states, rural patients benefit disproportionately from Medicaid expansion. Adequate insurance is key to ensuring access to quality care.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, rural patients with cancer make up a sizeable minority of patients with cancer who may have special needs . It is estimated that at least 22 million people will lose health care coverage if the ACA is dismantled, 14 million through loss of expanded Medicaid coverage . In many states, rural patients benefit disproportionately from Medicaid expansion.…”

Section: Discussionmentioning

confidence: 99%

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Geographic Distribution and Survival Outcomes for Rural Patients With Cancer Treated in Clinical Trials

et al. 2018

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Key Points Question Do rural and urban patients with cancer receiving similar care in clinical trials have similar outcomes? Findings In this comparative effectiveness study, 36 995 patients from all 50 states enrolled in 44 SWOG treatment trials from 1986 to 2012, composing 17 different cancer-specific analysis cohorts, were examined. Rural patients had statistically significantly worse survival in only 1 of the 17 analysis cohorts (those with adjuvant-stage, estrogen receptor–negative and progesterone receptor–negative breast cancer) irrespective of how rural residency was defined. Meaning Improving access to uniform treatment strategies such as those found in clinical trials may help resolve the disparity in cancer outcomes between rural and urban patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Geographic Distribution and Survival Outcomes for Rural Patients With Cancer Treated in Clinical Trials

et al. 2018

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“…Interviews for this study were conducted before the 2016 U.S election and the subsequent changes to the ACA proposed by the new Republican administration. It is premature to ascertain what additional challenges may emerge, particularly with anticipated reductions or eliminations of expanded Medicaid coverage, reduced support for enrollment efforts, and restricted funding and capacity of community-based organizations for "navigator" positions providing health insurance literacy education [41,42]. Whatever the outcome of ongoing debates, recruiting and retaining young adults will remain a priority in order to balance out insurance risk pools.…”

Section: Discussionmentioning

confidence: 99%

Young Adults Changing Insurance Status: Gaps in Health Insurance Literacy

2018

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“…Following the Executive Order 13765, on May 4 th , 2017, the AHCA was passed by the House of Representatives in a close vote of 217-213, so close it could be a potential indicator of uncertainty surrounding the proposed act [23,24]. The AHCA was proposed as the manifestation of the 'Replace and Repeal Obamacare' slogan for Trump's campaign against the ACA.…”

Section: President Trump's Campaign and High Drug Pricesmentioning

confidence: 99%

President Trump’s prescription to reduce drug prices: from the campaign trail to American Patients First

Dabbous

François

Chachoua

et al. 2019

Journal of Market Access & Health Policy

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Background: Drug prices in the United States are the highest in the world, restricting access to the domestic lower income population. President Trump campaigned heavily on promises to reduce drug prices. Methods: A literature review was conducted through PUBMED, EMBASE, Media and grey literature to consolidate and analyze publications addressing President Trump's promises from the campaign trail as well as the shortcomings and achievements of the Trump administration. Results: Major promises ranged from repealing and replacing Obamacare, expanding coverage, allowing cross-state insurance purchasing, and reducing drug prices. Main accomplishments of the Trump administration have been two executive orders (13765 and 13813), the proposition of the American Health Care Act, and the passing of the Tax Cuts and Jobs Act of 2017. The American Patients First blueprint further revealed the administration's strategies for lowering drug prices. The administration has also engaged in unconventional strategies, such as via bilateral leverage directly with trade partners. Conclusion: The Trump administration has not yet been able to fulfill the major campaign promises, primarily the ones requiring legislative and/or administrative action. If enough legislative action is accomplished to implement the Trump administration's promises, the effects on the pharmaceutical industry could be direct, yet minimal, unless Medicare can directly negotiate with manufacturers.

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Moving in the Wrong Direction — Health Care under the AHCA

Cited by 8 publications

References 0 publications

Geographic Distribution and Survival Outcomes for Rural Patients With Cancer Treated in Clinical Trials

Geographic Distribution and Survival Outcomes for Rural Patients With Cancer Treated in Clinical Trials

Young Adults Changing Insurance Status: Gaps in Health Insurance Literacy

President Trump’s prescription to reduce drug prices: from the campaign trail to American Patients First

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