More than a million women could gain access to potentially life saving tests for cancer
A study by researchers at the George Washington University School of Public Health and Health Services (SPHHS) indicates that full implementation of the Affordable Care Act would expand health insurance coverage for more low-income women, enabling more than a million women to obtain potentially life-saving screening for breast and cervical cancer. The study, "Health Care Reform and Women's Insurance Coverage for Breast and Cervical Cancer Screening," was published in a recent issue of the journal Preventing Chronic Disease.
In the past, many low income women without insurance could not afford screening tests for breast and cervical cancer such as mammograms or Pap tests. Such tests often identify cancer at an early, more treatable stage—before a tumor has spread and turned deadly. Right now, about 40,000 women per year die of breast cancer and another 4,000 die of cervical cancer.
The researchers created a model, based on results from Massachusetts' successful health reform initiative, to estimate the number of low-income women in every state who would gain insurance coverage if federal health reform is fully implemented. They estimated that 6.8 million low-income women 18-64 would gain health insurance under health reform. Based on findings from a recent experiment of expanded Medicaid coverage for low-income adults, they estimated that about 500,000 more women a year would be able to get mammograms to check for breast cancer and 1.3 million more women could get Pap tests to check for cervical cancer.
"The Affordable Care Act could lead to major gains in screening and early detection of breast and cervical cancer," said Leighton Ku, PhD, MPH, a professor of health policy and Director of the Center for Health Policy Research at SPHHS who led the study. "Those gains could result in faster treatment and better outcomes for women across the nation," he said adding that the improvements come after a decade in which women's cancer screening rates have remained stagnant.
Even so, 4.5 million low-income women will remain uninsured and could have great difficulty affording cancer screening costs on their own, the authors said. They note that such women will continue to need the help provided by the Center for Disease Control and Prevention's breast and cervical cancer screening program, which offers uninsured, poor women access to screening tests and even referrals for follow-up care if a cancer is found.
"The CDC's breast and cervical cancer program serves as a lifeline helping hundreds of thousands of uninsured women get the screening services they need," said Paula Lantz, PhD, professor and chair of the SPHHS Department of Health Policy and a noted women's health expert. Moreover, almost all states offer Medicaid coverage for cancer treatment if they are diagnosed under the CDC program.
The research study assumed that the Affordable Care Act is fully implemented. However, the Supreme Court ruled in June that the expansion of Medicaid, a major component of the federal reform law, must be optional for states and governors in states like Florida, Texas, Nebraska, Georgia, Louisiana, South Carolina and Mississippi have said they would resist Medicaid expansion. States that fail to expand health insurance coverage would be unlikely to experience these improvements in women's health insurance coverage and cancer screening rates, Ku said.
More information: A copy of the paper may be found at: sphhs.gwu.edu/depa… 0Disease.pdf
Provided by George Washington University
- Editorial calls for comprehensive approach to cancer screening May 09, 2012 | not rated yet | 0
- Mammography use up for US immigrants Sep 19, 2011 | not rated yet | 0
- Case managers help low-income women receive more timely breast cancer diagnosis Mar 16, 2010 | not rated yet | 0
- Obese women in Canada are less likely to be screened for cervical cancer Jun 17, 2008 | not rated yet | 0
- Lack of insurance linked to advanced stage cervical cancer Jul 19, 2012 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Why is zone 1 in liver more prone to ischemic injury?
12 hours ago Hi, Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why...
How can there be villous adenoma in colon, if there are no villi there
May 22, 2013 As title suggest. Thanks :smile:
How can there be a term called "intestinal metaplasia" of stomach
May 21, 2013 Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
- More from Physics Forums - Medical Sciences
More news stories
Treating pediatric leukemia patients with a liposomal formulation of anthracycline-based chemotherapy at a more intense-than-standard dose during initial treatment may result in high survival rates without causing any added ...
Cancer 3 hours ago | not rated yet | 0
Scientists have uncovered a survival mechanism that occurs in breast cells that have just turned premalignant-cells on the cusp between normalcy and cancers-which may lead to new methods of stopping tumors.
Cancer 4 hours ago | not rated yet | 0 |
Frequent heartburn was positively associated with cancers of the throat and vocal cord among nonsmokers and nondrinkers, and the use of antacids, but not prescription medications, had a protective effect, according to data ...
Cancer 4 hours ago | not rated yet | 0
Aggressive forms of bladder cancer involve the protein PODXL – a discovery that could hold the key to improved treatment, according to researchers at Lund University, Uppsala University and KTH in Sweden.
Cancer 6 hours ago | 5 / 5 (1) | 0
Ethnic background plays a surprisingly large role in how diabetes develops on a cellular level, according to two new studies led by researchers at the Stanford University School of Medicine.
24 seconds ago | not rated yet | 0 |
Cinnamon: Can the red-brown spice with the unmistakable fragrance and variety of uses offer an important benefit? The common baking spice might hold the key to delaying the onset of –– or warding off ...
21 minutes ago | not rated yet | 0 |
Chinese and U.S. scientists have used virus isolated from a person who died from H7N9 avian influenza infection to determine whether the virus could infect and be transmitted between ferrets. Ferrets are often used as a mammalian ...
45 minutes ago | not rated yet | 0 |
By discovering the new mechanism by which estrogen suppresses lipid synthesis in the liver, UC Irvine endocrinologists have revealed a potential new approach toward treating certain liver diseases.
22 minutes ago | not rated yet | 0 |
UCLA researchers examining outcomes for advanced heart-failure patients over the past two decades have found that, coinciding with the increased availability and use of new therapies, overall mortality has decreased and sudden ...
26 minutes ago | not rated yet | 0
Aortic arch pulse wave velocity, a measure of arterial stiffness, is a strong independent predictor of disease of the vessels that supply blood to the brain, according to a new study published in the June issue the journal ...
27 minutes ago | not rated yet | 0