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Related Experiment Video

Updated: Jan 6, 2026

Stromal Vascular Fraction-enriched Fat Grafting for the Treatment of Symptomatic End-neuromata
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Financial Hardship After Surgical Procedures.

Alexandra Hernandez1, Nina M Clark1, Jamie Olapo1

  • 1Department of Surgery, University of Washington, Seattle.

JAMA Surgery
|November 19, 2025
PubMed
Summary
This summary is machine-generated.

Surgical procedures significantly increase financial hardship for working-aged adults, particularly the uninsured and privately insured. Medicaid coverage appears to mitigate this financial burden, highlighting the importance of accessible insurance for surgical patients.

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Area of Science:

  • Health Economics
  • Public Health
  • Surgical Outcomes

Background:

  • Affordable surgical care is a significant challenge in the US.
  • Financial hardship associated with surgery is not well understood nationally.

Purpose of the Study:

  • To assess the link between surgical procedures and financial hardship in US working-aged adults.
  • To compare financial hardship changes after elective versus emergency surgery.
  • To examine variations in hardship by insurance payer and income level.

Main Methods:

  • Retrospective cohort study using Medical Expenditure Panel Survey (MEPS) data (2014-2021).
  • Matched surgical patients (aged 18-64) with non-surgical controls.
  • Analyzed financial hardship and out-of-pocket spending post-surgery.

Main Results:

  • 37.9% of surgical patients faced financial hardship within a year.
  • Surgery increased financial hardship by 5.4 percentage points (16% relative increase).
  • Uninsured (23.7 pp) and privately insured (8.4 pp) patients saw significant increases; Medicaid patients had no significant change.

Conclusions:

  • Surgical procedures are linked to considerable financial hardship for working-aged adults.
  • Emergency surgery and lack of insurance exacerbate financial strain.
  • Medicaid protection suggests policy implications for financial risk protection.