Health / Medical Debt

High health care costs are a problem for everyone, but can be especially detrimental and financially disabling for low and moderate income individuals. Among those in the highest economic quintile, over 90% have health insurance, whereas only 73% of those in the lowest economic quintile have health insurance. Moreover, of this 73% only 21% of low income individuals have private health insurance while half have public insurance.

Lack of affordable, private health insurance stresses the already underfunded Medicare and Medicaid programs. Current estimates are that the Medicare Trust Fund will be depleted by 2017, much earlier than previously thought, and that it is paying out more than it is taking in from payroll and interest income. Unless reforms are made soon, millions more will join the ranks of the 42 million Americans currently without health insurance.

Without health insurance, medical emergencies frequently place individuals and families at risk of losing assets and falling prey to predatory lenders. Estimates suggest that nearly 37% of adults have difficulty paying medical bills or have accrued medical debt. In fact, medical debt is one of the major factors that cause personal bankruptcy.

Increasing access to and funding for public health care programs like Medicaid will ensure that low-income workers’ medical debt will not inhibit their attainment of assets. Thus, health care coverage issues can be another important component of an asset building policy agenda.

Resources:

Asset Building and Insurance

Description: This presentation presents focus group findings on the knowledge and use of insurance among low-mod income households.
Author Name: Robin Newberger (Consumer and Community Affairs, Federal Reserve Bank of Chicago)
Organization Type: Government


"Health Insurance & Family Budgets" (September 2008)

Description: This presentation is an overview of the role of health insurance in family budgets, the implications of health insurance for asset building, and potential policy solutions.
Author Name: Sarah Axeen (New America Foundation)
Organization Type: National Intermediary


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