Figure 3.

Temporal trends in overall (A) and pancreatic (B) cancer mortality rates by 2014 state Medicaid expansion status. The trends in cancer mortality rates for all cancers combined changed similarly over time for Medicaid expansion and nonexpansion states, with the exception of 2009. The trends in pancreatic cancer mortality rates were similar in Medicaid expansion and nonexpansion states until around 2013, when the trends began to diverge, consistent with the timing of the 2014 Medicaid expansions. The dashed line for “trend comparison,” for easier visual comparison of temporal trends, is equal to the trends of the nonexpansion states translated up or down such that the comparison mortality rates at the end of the preexpansion study period (2013) are equal to the rate in the 2014 expansion group. Mortality rate is the age-adjusted deaths per 100 000 population. Error bars denote 95% confidence intervals.