Work and disability interact in complex, sometimes counter-intuitive ways. Our research explores how reform is affecting employment outcomes for people with disabilities.
Social isolation has been compared to smoking in terms of risk to public health. Some
groups are at particularly high risk for these feelings, including people with disabilities and rural residents.
Few studies have considered the potentially compounding effects of disability status and rural
residency. To evaluate how reported satisfaction with social participation and perceived isolation relate
to the health of rural and urban people with disabilities, and to consider whether number of disabilities,
living arrangement, and employment status were.
Before the Affordable Care Act (ACA), many people with disabilities were required to live in poverty to maintain their Medicaid eligibility. With Medicaid expansion, they can enter the workforce, increase earnings, and maintain coverage. This study confirmed that people with disabilities were more likely to be employed in the Medicaid expansion states compared with those in non-expansion states (38% vs 32%).