Buchmueller Thomas C, Levy Helen G
Thomas C. Buchmueller ( tbuch@umich. edu ) is the Waldo O. Hildebrand Professor of Risk Management and Insurance at the Ross School of Business, University of Michigan, in Ann Arbor.
Helen G. Levy is a research professor in the Institute for Social Research, University of Michigan.
Health Aff (Millwood). 2020 Mar;39(3):395-402. doi: 10.1377/hlthaff.2019.01394.
Large disparities in health insurance coverage and access to health services have long persisted in the US health care system. We considered how the insurance coverage expansions of the Affordable Care Act have affected disparities related to race and ethnicity. In the years since the law went into effect, insurance coverage has increased significantly for all racial/ethnic groups. Because coverage increased more for non-Hispanic blacks and Hispanics than for non-Hispanic whites, disparities in coverage have decreased. Despite these improvements, a large number of adults remain uninsured, and the uninsurance rate among blacks and Hispanics is substantially higher than the rate among whites.
长期以来,美国医疗保健系统在医疗保险覆盖范围和获得医疗服务的机会方面一直存在巨大差异。我们研究了《平价医疗法案》的保险覆盖范围扩大如何影响与种族和族裔相关的差异。自该法律生效以来的几年里,所有种族/族裔群体的保险覆盖范围都显著增加。由于非西班牙裔黑人和西班牙裔的保险覆盖范围比非西班牙裔白人增加得更多,覆盖范围的差异有所减少。尽管有这些改善,但仍有大量成年人没有保险,黑人和西班牙裔的未保险率大大高于白人。