The Patient Protection and Affordable Care Act: Impact on the care of gynecologic oncology patients in the absence of Medicaid expansion in Central Virginia

Seven percent of new GO patients are PS1 and uninsured. This population contains a disproportionate number of minorities and women with cancer. These women will have difficulty affording care as DSH funding decreases, particularly in states with lean Medicaid that opt out of Medicaid expansion. The burden of lack of access to care will be shouldered by an unfortunate few.