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ACA Reduced Socioeconomic Disparities in Breast Cancer Screening stat : huffingtonpost

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daily : 2017-01-11 & on time : 6:41

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Obamacare May Have Helped More Poor People Get Breast Cancer Screenings

Obamacare May Have Helped More Poor People Get Breast Cancer Screenings

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One of the great benefits of the Affordable Care Act is that it eliminated out-of-pocket costs for screening procedures like mammograms and colonoscopies for many Americans.It also let health care researchers test a theory on why people get ― or don’t get ― such screenings.“We know that as a whole, if you’re less affluent, you’re less likely to get most preventive care,” said Dr. Gregory Cooper, the gastroenterology program director at University Hospitals’ Cleveland Medical Center.

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ACA Reduced Socioeconomic Disparities in Breast Cancer Screening

ACA Reduced Socioeconomic Disparities in Breast Cancer Screening

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The use of mammography, but not colonoscopy, has increased in the post–Affordable Care Act (ACA) years, which eliminated out-of-pocket expenditures for these recommended services, according to the results of a study published in Cancer.“Although we were unable to measure a direct cause and effect relation, we found that after implementation of the ACA, there was reduction in socioeconomic disparities for screening mammography but not colonoscopy,” wrote Gregory S. Cooper, MD, of the division of gastroenterology at the University Hospitals Cleveland Medical Center, and colleagues.“The findings support the removal of out-of-pocket expenditures as a barrier to the receipt of recommended preventive services but emphasize that for colonoscopy, other factors such as a fear of sedation, perceived discomfort, and a need for bowel preparation should be considered.”Cooper and colleagues used Medicare claims data to study whether or not there had been changes in the uptake of mammography and colonoscopy among fee-for-service Medicare beneficiaries before and after ACA implementation.

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Do Screening Mammograms Cut Breast Cancer Deaths Or Lead To Overtreatment? Probably Both

Do Screening Mammograms Cut Breast Cancer Deaths Or Lead To Overtreatment? Probably Both

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Adults Not Getting Vaccinated Cost The U.S. $7.1B In 2015Whether screening mammograms can lower women’s risk of women dying from breast cancer has been debated for decades.That’s not surprising, given that breast cancer is the leading cause of cancer deaths in women worldwide and second only to lung cancer in developed countries such as the United States.After remaining relatively unchanged for decades, the U.S. breast cancer death rate has been falling steadily for the past quarter century (scroll down here to see a chart of the trend), but many observers, such as the authors of an October article in the New England Journal of Medicine, give most of the credit to improved treatment of the disease, none to earlier detection due to screening.

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