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How The Type of Insurance Plan Affects Brain Tumor Treatment

Most people think that having a good health insurance plan will keep them covered for all medical conditions. Sadly enough, they are wrong and misinformed, even though the new Affordable Care Act has a number of healthcare insurance options catering to the needs of people from lower income group as well. The main aim of the federal government was to provide Medicaid or health insurance to every American citizen. But due to the multitude of socioeconomic conditions of the people in the USA, access to healthcare and the outcome of certain treatments varies. Neurosurgeons believe that it greatly affects the treatment of brain tumor in patients.

 Does The Type Of Insurance Really Matter?

Using the database of patients who had stayed in hospitals, a study was conducted to find out if various types of insurance really matter for patients suffering from a brain tumor. It should be remembered here that these patients probably went through surgery and had to stay in the hospital for days to recover. The study was done to understand the quality of health care for patients with private insurance, Medicaid, or no insurance. It was found that patients suffering from a brain tumor either with Medicaid or no insurance suffered more from medical complications that they could have gotten from the hospital — for example, UTI due to a catheter usage. Though it might seem like people with private insurance got better treatment, that is not the case here. It was found that pre-hospital care might have been the reason behind this. How the patients were brought to the hospital and in what condition mattered.

Pre-Hospital Care And Its Importance

So, it all depends on the condition of the patient before going to the hospital. However, that has largely to do with the insurance type, too. How healthy or unhealthy the patient is before they appear at the hospital depends on whether they were on Medicaid or no insurance. Since people with private insurance have access to regular check-ups, chances are that their brain tumor was detected earlier as well. Because they have been in touch with a doctor often, people with private insurance may not have suffered from any other condition or even if they did, they would have been on medication.

Additionally, patients with Medicaid or no insurance stay in hospitals for a longer time. Since brain surgery patients need to be at rehab centers for a certain period of time for recovery, these patients have to wait at the hospital for the rehab to have empty beds for them. Generally, beds at rehabs are costly and covered by private insurance. Charity beds are fewer in number, hence the long wait.

Different Hospitals For Both Types Of Insurance Holder

Another factor that plays a major role in deciding the kind of care insurance holders of both types get is the kind of hospital they choose. Patients getting treated via private insurance usually go to different hospitals than ones who have Medicare or no insurance. Hospitals treating patients with Medicaid usually receive a lot of footfall, and it is not possible for them to provide exceptional care to each and every patient. On the other hand, patients with private insurance go to hospitals with a low-risk population where staff can attend to their needs properly.

Truth is that this is true for all patients undergoing surgery or having to go to rehab for post-surgery care. This includes most cancer patients. It seems quite alarming because the number of cancer patients are rising every day, and not everyone can afford private insurance. This again brings us back to this question: why should medical facilities be different for the rich and the poor? Health care is considered to be a basic right, and this kind of discrimination should be stopped. Experts have opined that if the government tried to change the situation, it might reduce the mortality rate for patients with brain tumor. Right now, most patients with a malignant tumor have a survival rate of 35% and a five-year survival rate.

However, the very fact that the problem areas have been identified is something to be hopeful about. Chances are that the government is already working towards a better healthcare option for the lower income group. Maybe in a few years we can see changes.

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