Republican, Democrat, Left, Right, Centrist… No matter how citizens in this nation may choose to politically identify ourselves, we are all pretty much in agreement about one thing: This country needs health care reform. Our suggestions as to what shape that reform should come in may not be identical but there is no denying that we are currently on the fast track to bankruptcy if meaningful reform is delayed much longer.
Bankruptcy is in fact what a growing number of Americans have already encountered through the health care system as it now functions. In June of this year, the American Journal of Medicine released a new study’s findings based on figures available from 2007. The results of this study point out the debilitating role of medical expenses in families and individuals who must file for personal bankruptcy. Labeled as the “first-ever national random sample of bankruptcy filers”, the study’s authors worked hard to maintain conservative controls on their findings and followed the numbers up with fact-finding interviews with a significant portion of the sample’s participants. Research indicated that a staggering 62% of personal bankruptcy filings were disproportionately driven by medically related expenses.
Dr. Steffie Woolhandler, one of the study’s authors, voiced her conclusions in an interview with CNN saying, “Unless you’re a Warren Buffett or Bill Gates, you ‘re one illness away from financial ruin in this country If an illness is long enough and expensive enough, private insurance offers very little protection against medical bankruptcy, and that’s the major finding in our study.” There are those who find Dr. Woolhandler’s words a little radical. A spokesman for the Washington, D.C. based nonpartisan policy research foundation, The Center for Studying Health System Change, admitted some reservations about the findings but at the same time concluded that 1 in 5 American families are “unduly strained” by medical bills.
It is hard to fathom the aggressive rise in medical costs and their burden on families in the past 30 years. 1981 statistics indicate that only 8% of personal bankruptcy filings were in the aftermath of medical crisis. (These numbers were extracted from court records which did not indicate the origin of debt handled by collection agencies.) In 2001 findings, the number of medically related bankruptcies had jumped to 46%. In the short gap of 6 years, the American Journal of Medicine’s findings for 2007 rose to nearly 62%. What the numbers will be after the effects of the current economic recession are tallied gives reason for pause.
The stigma that hangs over personal bankruptcy in our country is in part due to the public’s common misunderstanding of what the average filer looks like; many people have a mental image of a hapless slouch. The American Journal of Medicine’s study reveals this misapprehension for the untruth that it is. Most of the debtors surveyed were middle class, middle aged and college educated. 75% of the debtors had health insurance coverage at the onset of their financial and health problems. Typically this insurance left them with the commonplace gaps of high premiums, copayments, hefty deductibles and a range of uncovered medical services. It is important to note that policy rescission is a normative practice among medical insurance companies with 25% cancelling an individual’s policy immediately upon a disability diagnosis and another 25% of companies cancelling within one year of the diagnosis.
It is hard to ignore that the middle class’ back is being gradually broken under the weight of the current insurance system. Health insurance premiums skyrocket every six months and deductibles on most policies follow a similar skyward pattern annually. Proponents of the American Dream have traditionally contended that what is bad for the middle class is bad for the nation as a whole. Currently, it is estimated that the U.S. will spend 17.6% of its GDP (Gross Domestic Product) on health care in 2009. The future holds an ever upward spiral if reforms are not soon brought into play. A further consideration of this staggering GDP statistic is to realize that it does not and cannot take into account all the associated costs that medically related bankruptcy of individuals or small businesses impose on the economy and society.
Do a quick online search for this American Journal of Medicine study and review it in its entirety for yourself (www.amjmed.com, Vol. 122, Issue 8 pp. 741 to 746). As a citizen, you owe this brief time investment to both you and your country. Inform yourself and do not leave decision making of this kind solely and silently in the hands of your elected officials. It doesn’t hurt to remember that your representatives have plump health insurance packages that the average Joe is barred from participating in.
