Institute of Medicine estimates 18,000 American's die from lack of health coverage
On January 14 the Institute of Medicine (IOM), a Congressionally chartered but independent organization created in 1970 "to serve as adviser to the nation to improve health," released a report and fact sheets asking the president and Congress to act so that everyone living in the U.S. has health insurance by 2010. The report assembles facts we all can use to make the case that the current system must and can be changed. For example:*
Uninsured children and adults are sicker and die more often, as cancer and other diseases are diagnosed too late. Uninsured persons injured in an automobile accident get less services in hospitals and have a 37% higher death rate than those with health coverage. Lack of health insurance causes 18,000 unnecessary deaths every year in the U.S. Currently, 43,000,000 Americans are uninsured.
*The cost of the employee's share of health insurance increased 350% (in constant dollars) from 1977 to 1998, while the median income only increased 17%.
*Four out of five uninsured Americans are members of working families. A quarter of U.S. workers are not offered health insurance at all by their employer. If they buy their own policy it usually costs much more than the same insurance purchased by a group, especially if they have a chronic health condition. If they do not have insurance and get sick, they usually have to pay much more for the same medical services, since insurance companies can negotiate discounts with doctors, hospitals, pharmacies, and others.
*Four out of five without health insurance in the U.S. are U.S. citizens -- although immigrants are more likely than others to be uninsured.
*Of the 7.8 million uninsured children in the U.S. today, half are actually eligible for insurance under SCHIP (State Children's Health Insurance Program) or Medicaid. Often they are kept out by complex enrollment or re-enrollment procedures.
*It would almost certainly cost less to provide insurance to everyone than to continue the current system. The cost of covering all the uninsured has been estimated as between 3% and 5.6% of total U.S. healthcare cost.
*The U.S. spends more per person on health care than any other nation -- 14% of gross its domestic product -- but is 25th in male life expectancy and 19th in female life expectancy among 29 developed countries.
The report recommends five key principles for evaluating health insurance -- that it be universal, continuous, affordable to individuals and families, affordable and sustainable for society, and should "enhance health and well-being by promoting access to high-quality care that is effective, efficient, safe, timely, patient-centered, and equitable." It does not recommend a particular reform strategy, but evaluates four of them, including single payer, on how well they meet these recommendations.
"Imagine what the country would be like if everyone had coverage -- people would be financially able to have a health problem checked in a timely manner, to obtain preventive and primary care, and to receive necessary. appropriate and effective health services. Families would have security in knowing that they had some protection against medical bills undermining their financial stability. Key community providers and health care institutions could provide care to those who need it without jeopardizing their financial stability."
The new report, Insuring America's Health: Principles and Recommendations, is the last of a series of six IOM reports "that offers the most comprehensive examination to date of the consequences of lack of health insurance on individuals, their families, communities, and the whole society." Copies of all six are available at: http://www.iom.edu/report.asp?id=17632 or through: http://www.iom.edu
http://www.aegis.com/pubs/atn/2004/atn040101.html
Most of these are working citizens, not illegal immigrants or unemployed slackers, as some people *COUGHKIDROCKCOUGH* like to pretend.
The terrorist attacks of 2001, in contrast, killed around 3,000. Looks like insurance companies are the real deadliest enemies of the US.