A study published in Health Affairs examined the of access to health care for Americans aged 18-64 years between 2013 and 2015 shows that there were large increases for healthcare coverage for poor households: +15% in Medicaid expansion states. Gains in access to a primary care provider (+7.7%) and reductions in avoiding care due to cost (-7.5%) were significant among poor households as well. Gains in access were greater for people who were not college graduates vs. college graduates, for renters vs. homeowners, and for unemployed vs. employed. Residents of nonexpansion states also had gains in access, but not as significant and the gains were not concentrated as heavily in poor households.
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