Sommers Benjamin D
Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, USA.
Issue Brief (Commonw Fund). 2016 Apr;9:1-7.
Texas is one of nearly 20 states yet to expand its Medicaid program under the Affordable Care Act (ACA), and is home to the largest number of uninsured Americans of any state in the country. For many of the state's 5 million uninsured, this decision has left them without an option for affordable health insurance. A comparison with other Southern states that have expanded Medicaid shows how this decision has left many low-income Texans less able to afford their medical bills, to pay for needed prescription drugs, and to obtain regular care for chronic conditions. These problems have been compounded by the state's opposition to outreach and enrollment assistance for many Texans who are eligible for coverage under the ACA. Ongoing efforts from stakeholders and consumer groups to persuade state leaders to expand coverage have significant implications for the well-being of millions of low-income adults in Texas.
得克萨斯州是近20个尚未根据《平价医疗法案》(ACA)扩大其医疗补助计划的州之一,并且是美国国内未参保美国人数量最多的州。对于该州500万未参保人群中的许多人来说,这一决定使他们无法获得负担得起的医疗保险。与其他已扩大医疗补助计划的南方州相比,这一决定如何使许多低收入的得克萨斯人更无力支付医疗费用、购买所需处方药以及获得慢性病的常规护理。该州反对为许多符合ACA参保资格的得克萨斯人提供推广和参保援助,这使这些问题更加复杂。利益相关者和消费者团体为说服州领导人扩大医保覆盖范围而持续做出的努力,对得克萨斯州数百万低收入成年人的福祉具有重大影响。