Despite multiple attempts to repeal the Affordable Care Act (ACA), the law remains in effect, guaranteeing health insurance to as many as 20 million previously-uninsured Americans. Numerous studies have documented the ACA’s positive effects on coverage, access, and health care quality, but changes in mortality have not yet been rigorously assessed. Using data from a variety of sources, the team will assess the relationship between coverage expansion and population changes in mortality over time.
In the ongoing debate over whether to repeal or significantly revise the ACA, the law’s uncertain impact on mortality has been a major point of controversy. Additionally, various studies have shown that Asian-Americans, Native Americans, African-Americans, and Latinos have experienced larger gains in coverage than whites. By examining mortality rates by race and ethnicity, the team will help assess the possibility of narrowing long-standing disparities in health care and mortality through the ACA.