Will Medicaid expansion create a care shortage for addicts?

A drastic expansion of insurance coverage among people with drug and alcohol abuse disorders will exacerbate several states' already-severe shortage of behavioral health professionals, according to Pew Charitable Trusts. The number of professionals available per 1,000 people with substance use disorders (SUDs) varies state by state, from 70 in Vermont to 11 in Nevada. There is no consensus as to the necessary proportion but experts agree there are not enough professionals in most regions of the country. More than 2 million of the 18 million adults nationwide eligible for Medicaid post-expansion have SUDs, according to the report. Analysis

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