Why didn't the Dems eliminate medical bankruptcies then? I mean this in the nicest way, but if you can't be more honest then STFU.
Well, start with
some facts:
Woolhandler and her colleagues surveyed a random sample of 2,314 people who filed for bankruptcy in early 2007, looked at their court records, and then interviewed more than 1,000 of them.
They concluded that 62.1 percent of the bankruptcies were medically related because the individuals either had more than $5,000 (or 10 percent of their pretax income) in medical bills, mortgaged their home to pay for medical bills, or lost significant income due to an illness. On average, medically bankrupt families had $17,943 in out-of-pocket expenses, including $26,971 for those who lacked insurance and $17,749 who had insurance at some point.
Overall, three-quarters of the people with a medically-related bankruptcy had health insurance, they say.
"That was actually the predominant problem in patients in our study -- 78 percent of them had health insurance, but many of them were bankrupted anyway because there were gaps in their coverage like co-payments and deductibles and uncovered services," says Woolhandler. "Other people had private insurance but got so sick that they lost their job and lost their insurance."
So it looks like if we're talking about medical bankruptcies, we're look at two basic kinds of people:
- People who don't have insurance but get sick; or, conversely, people who get sick and lose their job/coverage because of it. Either way, they then have trouble paying for the care they need.
- People who do have insurance (the large majority) but find their coverage isn't comprehensive enough or that the cost-sharing is more than they can handle, financially.
So if you wanted to address this issue, how might you proceed? First, you might eliminate lifetime limits and put restrictions on annual limits with respect to benefits (I'll tack on there the obvious step of also ending rescissions). Second, you might put limits on out-of-pocket spending. Third, you might establish a uniform baseline standard of comprehensive coverage that plans must meet. Fourth, you might create viable alternatives to employer-sponsored coverage so that someone who loses their job need not necessarily become uninsured. All of these will be happening, some of them starting in plan years that begin after next week.
Combating medical bankruptcies means addressing their causes.