Does insurance coverage affect the number of US clinical trial participants?

Recently in the Columbus Dispatch, Suzanne Hoholik shares the hardships that come for many when they find out clinical trials aren't covered by their insurances. In Ohio, Michael Pinney's only option of treatment of pancreatic cancer was a clinical trial. As with many other clinical trials, it was not covered by Pinney's insurance. Currently, in Ohio, state operated insurance must cover clinical trials, but Pinney fell into the 61% of citizens in Ohio who have federally regulated insurance.

At Partnerships in Clinical Trials 2012, a brand new symposium innovative "Patient recruitment and retention strategies" will focus on how to continue to attract clinical trial patients in new ways. To find out more about who will be speaking at this symposium, download the brochure here.  As a reader of the Partnerships in Clinical Trials blog, mention code XP1700BLOG when you register to receive 15% off the standard rate!

While this should change in 2014 due to new federal regulations, how much of an impact do you think this currently has on the recruitment of American patients in clinical trials? Will more Americans participate in clinical trials after 2014?