Skipping & Skimping: Healthcare in Hard Times
September 16th, 2009
photo by interplast @ flickr
I recently read an article in the Strib about increases in applications for MinnesotaCare, the state’s insurance plan for low-income individuals. Applications are up 25% so far this year, and in July they were up 43% compared to July 2008.
So I began to dig around a little bit, looking for more information about what people are doing to meet their healthcare needs during the economic recession. According to “Rising Health Pressures in an Economic Recession,” a recent report by the Kaiser Family Foundation:
The uninsured and underinsured delay and forgo important healthcare due to cost. Many in jobless families delay or skip needed care or medicine for cost reasons, with adverse consequences for their health.
In Kaiser’s July survey, nearly half (49%) of adults reported they have put off some sort of needed healthcare over the past 12 months because of its cost. One in five have had problems paying medical bills in the past year. And about 1 in 3 are “very worried” about being able to afford healthcare services they need.
What are they doing to cut back on costs? One-third are trying home remedies or over-the-counter drugs instead of seeing a doctor. Depending on the illness, this may not be a bad thing—a steam bath of eucalyptus and tea tree oil can do wonders for the sinuses. On the other hand, if it’s a bleeding ulcer, eating TUMS like candy might land you in the hospital.

Perhaps more worrisome: More than one-quarter are skipping dental care or check-ups—this can have major negative long-term consequences if they are skipped for too long (and result in costly long-term treatment that could have been averted). About 1 in 5 have skipped a recommended medical test or treatment, and 1 in 5 have not filled a prescription. Fifteen percent have cut pills in half or skipped doses of medicine to stretch out a prescription.
Not good. And it’s only going to get worse. According to a story in the Washington Post, annual healthcare costs for employers are expected to increase 166% over the next decade, to $28,530 per employee. Let me repeat that astounding figure: 166%. That means that employee expenses will also likely increase 166%. Or more.
Clearly some sort of healthcare reform is needed. I don’t have the answers, but if you’re looking for a rather simple visual presentation of this really complex issue that’s relatively unbiased, check out this Back of the Napkin presentation.






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