Evidence map›Paper›PMID 29029585›Full record

ReviewAnnual review of medicine2018

Refinement of the Affordable Care Act: A Progressive Perspective.

Olveen Carrasquillo, Michael Mueller

Abstract readReview
In one paragraph

Review in Annual review of medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Making America Great.Journal of general internal medicine · 2019
    Article
  5. Engaging Biomedical Engineering in Health Disparities Challenges.Journal of community medicine & health education · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Olveen CarrasquilloDivision of General Internal Medicine, University of Miami Miller School of Medicine, Miami, Florida 33136; email: ocarrasquillo@med.miami.edu , mxm2000@med.miami.edu.
Michael MuellerDivision of General Internal Medicine, University of Miami Miller School of Medicine, Miami, Florida 33136; email: ocarrasquillo@med.miami.edu , mxm2000@med.miami.edu.

Funding

Miami Clinical and Translational Science InstituteUL1TR002736 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, KOBETZ, ERIN N · 2018 to 2022
$23.2M
NCATS NIH HHS UL1 TR002736
6 · The paper itself

Abstract

The Affordable Care Act (ACA) was the most significant expansion of health coverage since Medicare and Medicaid were enacted. The law resulted in approximately 13-20 million uninsured persons gaining coverage. Despite these gains, the ACA has numerous shortcomings. For progressives, the ACA was a unique opportunity to provide access to high-quality, comprehensive, equitable health coverage to all persons living in the United States. Using this perspective as our framework, in this review we highlight some of the limitations of the ACA and potential areas for refinement. We conclude that the ACA fell far short of the goal of achieving universal coverage and that the coverage made available through the ACA was not equitable. In addition, the ACA expanded coverage by building onto a highly fragmented, inefficient, and costly health system. Thus, it did little to control health costs. A more fiscally prudent approach would have been built upon more successful existing programs, such as a Medicare for All.

Indexed as

Health Services AccessibilityInsurance CoveragePatient Protection and Affordable Care ActHealth Care ReformHealth PolicyHumansUnited StatesUniversal Health Insurancehealth care reformhealth insurancehealth policyhealth services accessibilityuniversal coverage

Identifiers

PMID29029585
PMCPMC12908518

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.