Supplies to maintain blood sugar levels. Photo: Joan Slatkin/Education Images/Universal Images Group via Getty Images

Switching to a high-deductible health plan has an impact on diabetes patients' adherence to their medication — but only if they're taking brand-name anti-diabetic drugs, a new study in JAMA Network Open found.

Why it matters: This is further evidence that putting people on the hook for too much of their health care costs can have adverse health effects if they then can't afford their care.

Details: The study observed type 2 diabetes patients, half of whom switched to a high-deductible plan. It differentiated between those taking branded and generic anti-diabetic drugs.

  • "This study suggests that enrollment in [a high-deductible health plan] may disrupt delivery of care for patients with type 2 diabetes, especially those for whom branded options offer optimal disease management," the authors conclude.

Go deeper: Employers are relying less on high-deductible health insurance plans

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Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: Chris Christie: Wear a mask "or you may regret it — as I did" — Senate Democrats block vote on McConnell's targeted relief bill.
  2. Business: New state unemployment filings fall.
  3. Economy: Why the stimulus delay isn't a crisis (yet).
  4. Health: FDA approves Gilead's remdesivir as a coronavirus treatment How the pandemic might endMany U.S. deaths were avoidable.
  5. Education: Boston and Chicago send students back home for online learning.
  6. World: Spain and France exceed 1 million cases.

Early voting eclipses 2016 total with 12 days until election

People stand in line to vote early in Fairfax, Virginia in September. Photo: Tasos Katopodis/Getty Images

Americans have cast more than 47.1 million ballots in the 2020 presidential election, surpassing the total early-vote count for 2016 with 12 days left until Election Day, according to a Washington Post analysis of voting data.

Why it matters: The election is already underway, as many states have expanded early and mail-in voting options because of the coronavirus pandemic.

What to expect from the final debate of the 2020 election

Trump and Biden at the first debate. Morry Gash-Pool/Getty Image

Watch for President Trump to address Joe Biden as “the big guy” or “the chairman” at tonight's debate as a way of dramatizing the Hunter Biden emails. Hunter's former business partner Tony Bobulinski is expected to be a Trump debate guest.

The big picture: Trump's advisers universally view the first debate as a catastrophe — evidenced by a sharp plunge in Trump’s public and (more convincingly for them) private polling immediately following the debate.