Cancer Treatment Center, St Charles Health System in Bend, OR, USA.
Cancer J. 2010 Nov-Dec;16(6):563-71. doi: 10.1097/PPO.0b013e3181ff6509.
On September 23, 2010, as a result of the Affordable Care Act (ACA), young adults throughout the United States younger than 26 years were required, with few exceptions, to have health insurance for the first time under a parent's insurance if the policy allows for dependent coverage. The ACA also provides for elimination of coverage denial for having had a previous diagnosis of cancer or other preexisting conditions as a result of the cancer and its therapy, provision of a minimum health benefits package including preventive services and professional counseling for obesity, alcohol and substance dependence, physical activity, and nutrition improvement. How these changes and the multiple other provisions of the ACA will affect young adults during the next decade is uncertain, but it has the potential to lead to earlier diagnosis of cancer, less invasive cancer therapy, better quality of survival, and higher cure rates. In the long run, it may also help prevent cancer, at least among the country's older population. A realistic appraisal of the obstacles to the implementation of the ACA in the age group may compromise many of the desired outcomes, however. Nonetheless, ACA has provisions that should reduce the cancer problem in young adult Americans, some of which are now in effect and most of which will become available during the current decade.
2010 年 9 月 23 日，由于平价医疗法案（ACA）的规定，除了少数例外，美国所有 26 岁以下的年轻人，只要其父母的保险政策允许，就必须首次通过父母的保险来获得医疗保险。ACA 还规定，取消因癌症及其治疗而导致的先前诊断出的癌症或其他既往疾病的保险拒绝，提供最低健康福利套餐，包括预防服务和肥胖症、酒精和药物依赖、身体活动和营养改善方面的专业咨询。这些变化和 ACA 的其他多项规定在未来十年将如何影响年轻人尚不确定，但有可能导致癌症更早被诊断，癌症治疗的侵袭性更小，生存质量更高，治愈率更高。从长远来看，它也可能有助于预防癌症，至少在该国的老年人群中如此。然而，对 ACA 在该年龄段实施的障碍进行现实评估可能会使许多预期结果落空。尽管如此，ACA 还是有一些规定可以减少美国年轻成年人的癌症问题，其中一些已经生效，而大多数将在当前十年内实施。
