Skip to content
Search

Latest Stories

Follow Us:
Top Stories

Has Medicaid expansion in states improved health outcomes?

Protestors call for health care beneifts

People demonstrate in support of health care in 2017 in Montana, which expanded Medicaid under the Affordable Care Act.

William Campbell-Corbis via Getty Images

This fact brief was originally published by EconoFact. Read the original here. Fact briefs are published by newsrooms in the Gigafact network, and republished by The Fulcrum. Visit Gigafact to learn more.

Has Medicaid expansion in states improved health outcomes?

Yes.

Studies have shown that Medicaid expansion in states does lead to improved health outcomes.


The Patient Protection and Affordable Care Act (ACA) sought to reduce the number of uninsured Americans through federal government subsidies of Medicaid coverage expansion. This Medicaid expansion was made optional to states, and as of May 2024 there were 10 U.S. states that had not yet implemented it. A study comparing outcomes of expansion vs. non-expansion states found a significant reduction in mortality in states that expanded Medicaid.

Individuals aged 55 to 64 with either less than a high school degree or income under the threshold (138 percent of the federal poverty level) experienced a 9.4 percent drop in mortality after expansion as compared to non-expansion states. Furthermore, research on states that already expanded Medicaid found no clear change in overall spending from state funds due to offsetting savings in health care costs.

This fact brief is responsive to conversations such as this one.

Sources

KFF Status of State Medicaid Expansion Decisions: Interactive Map

EconoFact Impact of Medicaid Expansion on State Budgets and Mortality


Read More

Silver sign of Department of Justice on a classical concrete wall with plants as foreground.
Silver sign of Department of Justice on a classical concrete wall with plants as foreground.
Getty Images, Dragon Claws

The Ku Klux Klan Returns to Power

Last month, the Department of Justice initiated a baseless lawsuit against the Southern Poverty Law Center (SPLC). This retributive action, like the previous frivolous actions brought against other individuals and organizations who defend the rule of law and judicial administration, is not only meritless, but is primarily intended to harass, intimidate, and render dysfunctional an organization that is interfering with the administration’s goal of fomenting hate and perpetuating its ethnic cleansing agenda of America.

Letitia James, James Comey, Mark Kelly, Jerome Powell, Minnesota Democrats, protesters at Cities Church in St. Paul, Minnesota, former military intelligence community lawmakers, John Bolton, Adam Schiff, John Brennan, Congressional Representative Lamonica McIver, Newark, New Jersey Mayor Ras Baraka, and fifteen law firms have been previous targets of such fabricated claims. The Department of Justice (DOJ), which has posted the worst success rate in the country's history, has been plagued by significant corruption and politicization, undermining its independence and integrity. It has shut down departments previously focused on enforcing the civil rights laws, national security, corruption, ethics, money laundering, and terrorism in order to focus on deportations of non-criminals, dismantling civil rights, and harassing the administration’s enemies. There have been forced resignations of prosecutors who resisted political pressure, indicating a shift towards loyalty over legal judgment. Disciplinary actions against judges and prosecutors who criticize the executive have become commonplace. Attacks on judges, even those appointed by the president, who follow the law rather than the president’s illegal policies, are routine. The DOJ's internal oversight and ethics capacity have been weakened, raising concerns about the rule of law and the Department’s abuse of justice.

Keep ReadingShow less
House Democrats and Republicans Clash over Free Speech in Higher Education

Rep. Burgess Owens, R-Utah, addresses the chamber in front of a portrait of George Miller.

(Matthew Junkroski / MEDILL)

House Democrats and Republicans Clash over Free Speech in Higher Education

WASHINGTON — Witnesses and representatives sat in silence as Rep. Burgess Owens, R-Utah, spoke about how universities should strive for intellectual diversity and introduce controversial ideas. Rep. Alma S. Adams, D-N.C., agreed with his rhetoric, but went on to criticize her Republican colleagues for standing in the way of free expression.

“Unfortunately, what we often see, especially in hearings like this, is not a good faith effort to strike that balance, but a selective narrative,” Adams said. “My colleagues on the other side of the aisle frequently claim that there’s a free speech crisis on college campuses, arguing that universities lack viewpoint diversity and silence certain perspectives.”

Keep ReadingShow less
Republican Attacks on Citizen Ballot Measures Undermine Democracy

Election workers process ballots at the Orange County Registrar of Voters one week after Election Day on November 12, 2024 in Santa Ana, California.

Getty Images, Mario Tama

Republican Attacks on Citizen Ballot Measures Undermine Democracy

In October 2020, Utah’s Republican Senator Mike Lee delivered a startling but revealing civics lesson in the aftermath of that year’s vice-presidential debate between Kamala Harris and Mike Pence. He tweeted, The United States is “not a democracy.”

“The word ‘democracy,’’’ Lee wrote, “appears nowhere in the Constitution, perhaps because our form of government is not a democracy. It’s a constitutional republic….Democracy isn’t the objective….” The senator said that the object of the Constitution was to promote “liberty, peace, and prospefity (sic).”

Keep ReadingShow less
Key Senate panel advances Trump’s pick for Fed chair

Kevin Warsh testified in a Senate Banking Committee confirmation hearing for Fed chair last week.

Photo provided

Key Senate panel advances Trump’s pick for Fed chair

WASHINGTON – The Senate Banking Committee on Wednesday voted 13 to 11 to advance Kevin Warsh’s nomination as Federal Reserve chairman despite Democrats’ concerns that he would not be independent from President Donald Trump.

The banking committee’s vote fell along party lines, with all 13 Republicans voting in favor of the nomination and all 11 Democrats voting against it. Senator Elizabeth Warren, D-Mass., said in a press release that it was the first time a vote on a Fed chair nominee was entirely partisan.

Keep ReadingShow less