MedPage Today October 8, 2025
Charles Bankhead

Residents of rural, high-poverty areas derived greatest benefit versus non-expansion states

Key Takeaways

  • Medicaid expansion was associated with significantly improved 5-year cancer survival for patients in rural and high-poverty areas compared to non-expansion states.
  • Five-year cause-specific survival increased by 2.55 percentage points among people living in rural areas and 1.54 percentage points among those living in high-poverty areas.
  • Overall and cause-specific survival improved for several high-mortality cancers, including those of the pancreas, lung, and colon/rectum.

States that expanded Medicaid coverage had significantly better cancer survival among patients in rural and high-poverty areas as compared with non-expansion states, data from U.S. cancer registries showed.

Five-year cause-specific survival improved by 2.55 percentage points (ppt) among patients in rural areas of...

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