JAMA internal medicine
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JAMA internal medicine · Mar 2018
Observational StudyPrevalence of Pulmonary Embolism in Patients With Syncope.
Sparse data and conflicting evidence exist on the prevalence of pulmonary embolism (PE) in patients with syncope. ⋯ Pulmonary embolism was rarely identified in patients with syncope. Although PE should be considered in every patient, not all patients should undergo evaluation for PE.
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JAMA internal medicine · Mar 2018
Out-of-Pocket Spending and Premium Contributions After Implementation of the Affordable Care Act.
The Affordable Care Act (ACA) was associated with a reduced number of Americans who reported being unable to afford medical care, but changes in actual health spending by households are not known. ⋯ Implementation of the ACA was associated with reduced out-of-pocket spending, particularly for low-income persons. However, many of these individuals continue to experience high-burden out-of-pocket and premium spending. Repeal or substantial reversal of the ACA would especially harm poor and low-income Americans.