Jeffrey T. Kullgren, MD, MS, MPH
This article was published at www.annals.org on 19 April 2016.
Disclaimer: The views expressed in this article are those of the author and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the U.S. government.
Financial Support: By the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development (HSR&D) Service. Dr. Kullgren is a VA HSR&D Career Development awardee at VA Ann Arbor Healthcare System.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0776.
Requests for Single Reprints: Jeffrey T. Kullgren, MD, MS, MPH, VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, PO Box 130170, Ann Arbor, MI 48113-0170; e-mail, email@example.com.
Kullgren JT. Injecting Facts Into the Heated Debates Over Medicaid Expansion. Ann Intern Med. 2016;164:848-849. doi: 10.7326/M16-0776
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Published: Ann Intern Med. 2016;164(12):848-849.
Published at www.annals.org on 19 April 2016
Medicaid expansion has been a contentious political issue since the 2012 U.S. Supreme Court decision that state expansions of Medicaid under the Patient Protection and Affordable Care Act (ACA) are optional rather than mandatory. In the wake of this decision, 31 states have expanded their Medicaid programs and 19 have not (1).
The debates around these decisions—which continue in earnest in many states—have been dominated by partisan rhetoric about the potential effects of Medicaid expansion. Yet, few objective national data have been available on the effects of the expansions. The study by Wherry and Miller in this week's Annals (2), which provides a timely analysis of national survey data from 40 427 adults who met eligibility criteria for Medicaid expansion under the ACA, should inform such debates going forward.
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