Comparative impact of the affordable care act on breast cancer outcomes among women in two US states.

However, there was a marginally significant increase in the likelihood of distant metastasis at presentation (coefficient: 1.08, 95% CI: -0.01 to 2.17, p = 0.052), suggesting a possible trend toward more advanced stage diagnoses post-ACA in Louisiana relative to Georgia, though this finding did not reach conventional levels of statistical significance.

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Implications for policy While the results of this study did not reach statistical significance, the trends suggest that Medicaid expansion may contribute to a gradual reduction in cancer-specific mortality and overall deaths.

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