This New Study Finds That Breast Cancer Is Detected Earlier in States With Expanded Medicaid

, which found that a higher percentage of women with breast cancer had their disease diagnosed at an early stage in states with expanded Medicaid coverage through the Affordable Care Act . Under the ACA, which was approved by President Obama in 2014, Medicaid eligibility is extended to nearly all low-income individuals, helping to fill gaps in insurance coverage that are key for breast cancer screening services.

“Breast cancer, compared to other types of cancer, is a disease where access to doctors and medical treatment screenings can play a large role in how quickly you can be seen, diagnosed, and treated,” explains, assistant professor of surgical oncology at Yale School of Medicine and senior author of the paper. “If you catch it early, and it's the right subtype, you can expect them to have a very long-term survival, if not cure.

Reviewing Medicaid expansion as it relates breast cancer stage at diagnosis, as well as the disparities associated with insurance status, age, and race/ethnicity, the study analyzed breast cancer patients in 31 states that increased their Medicaid coverage, and 14 states that didn’t. In the expansion states, where the average rate of uninsured breast cancer patients diminished from 23% to 14%, the rate of women diagnosed with advanced stages of the disease dropped from 23% to 20%.

In terms of diagnosis across race, the most notable difference was found amongst African American women, with the percentage of those diagnosed at advanced stages decreasing from 25% to 21% in expansion states. “African American women are notoriously more likely to have more aggressive cancer, so getting it caught early is huge,” explains, a surgical resident at Yale Cancer Center and Smilow Cancer Hospital, and first author on the study.

As both the global pandemic and the fight for racial justice continue to reveal fractures in the U.S. health system, their disproportionate impact on Black women urgently needs to be addressed—and this new breast cancer-centric research, as well as health crises emerging in states that refuse to expand Medicaid are undeniable proof of the urgent need for affordable quality health care for all.

Source: Healthcare Press (healthcarepress.net)

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