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Care4Carolina

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Sign as a Business Leader

As a North Carolina business leader, I endorse the following statement:

We, as North Carolina business leaders, understand that a strong economy and a thriving workforce require healthy families. Right now, too many hard-working families are uninsured. In fact, about two-thirds of all uninsured adults in North Carolina work. They are construction workers, farmers, child care providers, and even veterans. We urge the North Carolina General Assembly to achieve a bi-partisan solution to close the health insurance coverage gap. Now is the time to act. There are proposals on the table that would require no investment of state tax dollars and closing the gap would create an estimated 37,000 jobs and billions in economic activity. Much of this economic activity would benefit our rural communities and other areas most in need of an economic boost. Closing the health insurance coverage gap is a good deal for the health of North Carolina families and for our economy. We urge you to work together and achieve a policy solution that closes the health insurance coverage gap.

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By signing this statement you are granting permission to Care4Carolina to publicize your endorsement. Your personal information will only be used for the purposes of this public endorsement statement and will not be shared with any other entity. Personal contact information will not be shared in endorsement statements listings or ads. Employer affiliation will be used for identification purposes only. For example: “Mr./Ms./Mrs. John Doe, CEO, ABC Corporation*; Anytown, NC”.

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Cancer Mortality Reduced in States That Have Closed the Coverage Gap

November 24, 2020 by Hailey Gutzmer Leave a Comment

By Richard Rosen, MD

It is cruel that a coverage gap exists for North Carolinians who make too much to qualify for Medicaid but not enough to purchase insurance under the Affordable Care Act.   More than 500,000 would gain coverage if NC joined the 38 other states that have expanded Medicaid and it would improve chances of surviving cancer for those patients diagnosed with certain types of cancer.

A study in the peer reviewed journal, JAMA Network Open, released  November 5, 2020, concluded that states that expanded Medicaid had significant lower mortality than non-expansion states in breast, colon and lung cancer.  Prior research demonstrated an increase in early stage cancer diagnosis in expansion vs.  non-expansion states.  Expanding Medicaid improves access to screening and timely symptom evaluation, which the authors suggest may account for the mortality difference.

The study gleaned statistics from the National Cancer Database and included 523,802 cancer patients.  The estimated effect was prevention of 1 death for every 250 patients with cancer gaining coverage for 4 years after cancer diagnosis.  The benefit was seen in patients with localized (Stages I – III) but not metastatic (Stage IV) cancers.  With recent emphasis on racial disparities, it is noteworthy that the mortality differences associated with Medicaid Expansion did not differ for Black and white patients.

We’ve known that expansion states have increased access to care and improved control of chronic conditions such as diabetes and hypertension, but the finality of mortality difference that this study provides deserves our attention. 

Category iconFall 2020 Series Tag iconCancer,  Coverage Gap

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4021 Carya Dr
Raleigh, NC 27610
Phone: (919) 710-0220
Email: care4carolina@gmail.com

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