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In my most recent blog entry, I tried to emphasize the inequities inherent in our current healthcare system. At the time I wrote that, I knew I lacked hard research data, no doubt weakening my case.
An article in the Boston Globe this past week cited a Cambridge Health Alliance report that appeared in the American Journal of Public Health: a study that followed 9,005 adults under 65 years old who took part in a national survey conducted from 1986 through 1994 by the Centers for Disease Control and Prevention. After 12 years, 351 people had died. Sixty of them were uninsured and 291 were insured.
I'll quote from the article...
After accounting for age, education, income, and other factors, the researchers found that people without private insurance had a 40 percent higher risk of dying than people with private insurance. An earlier study by the Institute of Medicine based on 16 years of data through 1993 found that uninsured people had a 25 percent higher risk of dying than insured people, which translated into 18,000 additional deaths.
Co-author of the CHA paper, Dr. Steffie Woolhandler, noted in an interview that being uninsured is more lethal relative to being insured than it was 20 years ago, due to advances in treatment and prevention.
Even I didn't think the difference in mortality rate would be that startling... shocking, really. That means that lives lost due to lack of quality healthcare will exceed lives lost by american forces in the Vietnam War in about 15 months, and the Iraq war in about three and a half weeks.
Another Globe article Thursday reported on their recent survey of the commonwealth's major health insurance providers and the prospects of upcoming rate increases. Anticipated increases ranged from 7 to 12 percent, capping a decade of consecutive double-digit premium increases. Rates for 2010 will depend on the size of the employer and the type of coverage, but small businesses and individuals are expected to be hit the hardest.
The Globe claimed that, overall, premiums are more than twice as high as they were 10 years ago, but if the writer were familiar with the back-of-the-envelop "rule of 72", 10 years of at least ten percent increases gets you closer to a mind-numbing 150% boost. Massachusetts insurance costs are higher than most states, but the average cost of a family plan will be around $14,000 next year, with those insured through their employer footing around two-thirds of the bill.
An annual tariff of $14,000 is roughly double what an employee making $50K and her company will shell out for the twin payroll taxes, SS and Medicare.
These two trends are what the real healthcare crisis is all about. Private healthcare insurance is rapidly becoming beyond the means of the majority, and people will die because of it.
