I noted a small blip in a story by Rick Lyman at the New York Times about the newly released census data. It seems that another 1.3 million people lost health insurance between 2004 and 2005. That brings the 2005 total to 46.6 million Americans without health insurance.
I figure that pretty much all the poorest Americans already had no health insurance. The latest 1.6 million most likely represent a continuing expansion of the uninsured middle class.
With "medical bankruptcy" having entered the lexicon in the past year, this new stat makes me pause to think about risk. I just did an interview about this with Karen Springen at Newsweek. On the research side, papers with Melissa Jacoby and Debb Thorne (both on this blog) and David Himmelstein and Steffie Woolhandler (both Harvard Medical School) show that health insurance is no guarantee that someone won’t end up in financial collapse following a serious medical problem. But insurance makes a difference on where the tipping point occurs. For the uninsured, the $11,000 hospital bill following a slightly dodgy appendectomy spells financial doom. For the insured, it may take a more serious round of surgery and rehab after a bad fall to hit that same $11,000 in uninured costs out of a total bill of $50,000. Of course, either group can be beaten up financially by time lost from work. This is all just a question of vulnerability by degrees.
With the changes in the bankruptcy law making many people feel that the option has become too expensive or too difficult to accomplish, what will happen to the 1.6 million newly uninsured? Many won’t get sick, and others who get sick won’t seek medical care. But for some, modest medical problem will put them in a financial hole from which they can never recover. If they don’t go to the bankruptcy courts, what will happen to them?
