As a whole, the large body of research on the effects of Medicaid expansion under the ACA suggests that expansion has had largely positive impacts on coverage; access to care, utilization, and affordability; and economic outcomes, including impacts on state budgets, uncompensated care costs for hospitals and clinics, and employment and the labor market. With ACA repeal and replacement remaining a priority for the Trump Administration and Congress, these findings suggest that gains in coverage and access as well as economic benefits to states and providers are at stake if the Medicaid expansion is repealed.
The study included 168 teens with an average age of 15 that had previously sought help or struggled with depression. Half of the group was randomly assigned to "treatment as usual,” which was usually one-on-one counseling over five sessions. The other half played SPARX, a fantasy game where the subjects created avatars in order to squash “gloomy negative automatic thoughts,” and restore order in the virtual world. Each level taught players basic facts about depression, strategies for dealing with intense negative emotions and relaxation techniques.