In pursuit of equity in cancer care: moving beyond the Affordable Care Act

被引:20
作者
Dee, Edward Christopher [1 ]
Pierce, Lori J. [2 ]
Winkfield, Karen M. [3 ]
Lam, Miranda B. [4 ,5 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Radiat Oncol, 1275 York Ave, New York, NY 10065 USA
[2] Rogel Comprehens Canc Ctr, Dept Radiat Oncol, Michigan Med, Ann Arbor, MI USA
[3] Vanderbilt Univ, Med Ctr, Dept Radiat Oncol, Meharry Vanderbilt Alliance, Nashville, TN USA
[4] Brigham & Womens Hosp, Dana Farber Canc Inst, Dept Radiat Oncol, Boston, MA 02215 USA
[5] Harvard Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA USA
关键词
MEDICAID EXPANSION; ETHNIC DISPARITIES; RACIAL BIAS; HEALTH; COVERAGE; PATIENT; BREAST; RACE; CONCORDANCE; MISTRUST;
D O I
10.1002/cncr.34346
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Lay summary Although Medicaid Expansion under the Patient Protection and Affordable Care Act (ACA) has been associated with many improvements for patients with cancer, Snyder et al. provide evidence demonstrating the persistence of racial disparities in cancer. This Editorial describes why insurance coverage alone does not ensure access to health care, highlights various manifestations of structural racism that constitute barriers to access beyond the direct costs of care, and calls for not just equality, but equity, in cancer care.
引用
收藏
页码:3278 / 3283
页数:6
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