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Health costs, not coverage status, keep people away from the doctor

Health insurance, or lack of it, isn't the biggest factor keeping patients from getting medical treatment. The cost of care itself keeps more people away from hospitals and doctors offices, even among those who do have coverage, a survey by the Center for Healthcare Research & Transformation (CHRT) found. 

The survey looked at 1,022 adults in Michigan, roughly 900 (88 percent) of which had coverage. Among those insured, 17 percent continued to delay care because they couldn't afford it. 

What's more, people with more money reported that they were in better health than people with less money. Of those people surveyed who earned $150,000 or more annually, 72 percent believed themselves to be in "good" or "excellent" health. Only 14 percent of people making $10,000 or less per year could say the same. Coverage status didn't appear to be a factor, as 49 percent of those who were covered said they were in "very good" or "excellent health," compared with 47 percent of those without insurance.

"Rather than a simple count of who has health insurance and who doesn't, we wanted to get a clearer picture of the people behind the statistics," said Marianne Udow-Philips, CHRT director. "And we wanted to test the connection between health insurance and access to health care." 

To learn more:
- read this CHRT press release
- here's the executive summary of the survey
- here's the actual survey

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Comments

Funny, I thought apples kept the doctor away.

Our health care system is a snake eating its own tail. The higher the costs go, the more people will delay acute as well as preventative care. Penny wise, pound foolish, we then wind up with patients coming to ER's with high acuity issues and multi-system complications that cost hundreds of thousands of dollars to treat. What have we gained? We need lower deductibles, lower co-pays, affordable medications and more preventative care and health maintenance programs. We also need tighter restrictions on people who are using Medicaid, SSI and other public-funded programs to (bottom line) get drugs. Billions are spent on 'frequent flyers' who make outrageous demands for diagnostics and treatments for bogus complaints in order to get prescriptions (that are paid for by the state) that they turn around and sell on the street for 10-50 times their cost. Health-'care' has become less about caring than it is about profit and enabling. Sadly, we are about to see a generation of people for whom the passive suicide of deferring health care is preferable to spending their last years destitute.

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