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. 2015 Feb 2;33(7):764–772. doi: 10.1200/JCO.2014.58.0993

Table 4.

Qualitative Responses: Survivors' and Siblings' Concerns and Hopes About the New Health Care Reform Law

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Concerns Hopes
Cost of coverage
    Cost increase on an individual level Cost savings on an individual level (affordability)
        Affordability
        Increased premiums
        Increase to those with pre-existing conditions
    Expense to the country/those who pay for insurance Cost savings to the country
Insurance coverage
    Decreased access to insurance coverage Increased access to insurance coverage
        Uncertain who will qualify More people will have access
        Exclusions for those with pre-existing conditions No exclusions for those with pre-existing conditions
Decreased reliance on employment/decreased job lock
    Reduced comprehensiveness of coverage Improved comprehensiveness of coverage
        Cuts in benefits Expansion of benefits
        Decreased quality of coverage Quality with affordability
        Decreased continuity of coverage Longer coverage for dependents
    Uncertainty about content of coverage
        Changes to Medicaid
        Changes to Medicare
        Changes to long-term disability
Access to care
    Harder to access medical services Improved access to medical care for more people
        Dearth of care as a result of increase in number of insured
        Unable to access and retain physicians of choice/quality
Quality of care
    Decrease in quality of medical services Quality while still being affordable
Systems
    Government involvement in health care/individual mandate Improve regulation/identify causes of high medical costs
Employment
    Negative impact on employers and employees
    Cuts in employer-sponsored coverage