The article1 that accompanies this editorial describes a well-done study on how outcomes for young adults diagnosed with cancer are affected by lack of health insurance coverage and provides important new evidence that is consistent with earlier studies on the effects of being uninsured.The effects of being uninsured have been analyzed in increasing levels of granularity over the last several decades. In the early 1980s, I and some of my colleagues at what was then called the National Center for Health Services Research (now AHRQ) reported findings from the 1977 National Medical Care Expenditure Survey that showed that people without insurance coverage used about half the care of people with health insurance coverage, irrespective of their health status.2 Later studies by the Institute of Medicine as well as others have reported increased mortality rates for people lacking health insurance coverage, and this current study reviews findings of increased mortality in patients who have undergone liver transplantation as well as patients with chronic kidney disease and lower cancer screening rates among the uninsured. Being uninsured has also been associated with poor outcomes for several other types of cancer.3
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机译：这篇社论的第一篇文章描述了一项完善的研究，该研究关于缺乏健康保险覆盖范围如何影响诊断为癌症的年轻成年人的结局，并提供了重要的新证据，与早期关于未保险影响的研究一致。在过去的几十年中，对无保险的粒度进行了分析。在1980年代初期，我和我当时在当时称为国家卫生服务研究中心（National Center for Health Services Research，简称AHRQ）的一些同事报告了1977年国家医疗保健支出调查的结果，结果显示，没有保险的人大约使用了一半的医疗费用。拥有健康保险的人，不论他们的健康状况如何。2医学研究所后来的研究以及其他研究报告说，缺乏健康保险的人的死亡率上升，而本项研究回顾了接受过健康保险的人死亡率增加的结果。肝移植以及患有慢性肾脏疾病和未保险者中较低的癌症筛查率的患者。未投保还与其他几种类型的癌症的不良预后相关[3]。
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