CONCLUSION
Among patients with advanced stage (T4a) OCSCC, insurance status appears
to significantly predict the likelihood of receiving definitive cancer
treatment. This statistically significant association persists after
adjusting for several clinically relevant confounders. Our findings also
serve as evidence that healthcare insurance reform- such as through the
2014 ACA- can be an effective means of reducing these inequalities.
Further large-scale retrospective or prospective studies should be
conducted to confirm the existence of this relationship between
insurance status and treatment type, and the effect of Medicaid
expansion.