America’s Destitute, Pt.6 -- Some answers, some hope.
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As for public subsidized health insurance, Ms. Hoffman goes
on to say that the last ten years have been decidedly different
than they would have been. A vast amount of children have been
spared from a much worse health insurance/care outcome. She
contends that similar health insurance/care results could have
been attained for adults, as well, when she says "We have
managed to put a dent in the uninsured problem for children
through expansion of public programs. Those same programs have
not expanded for adults." So here is the problem and answer to
the millions of destitute without health insurance.
The last category to be treated here is the growing plight
of the ‘under-insured’. Unfortunately, this category has not
been adequately addressed by any of the studies above. It
requires a much more comprehensive approach then just ‘yes’ or
‘no’. There is no simple approach. A large number of guidelines
and criteria must be collectively defined and exhaustively
assessed. Like: What is “adequate health insurance”? How does
healthcare compare with paying other bills? How great of an
impact is foregoing treatment because of no health insurance?
What about catastrophes? Bankruptcy? – and on and on. What can
be gleaned from the CDC study is that 17.5% of those that were
insured had elected high-deductible plans and that 17% of this
same group had went with HSA’s or the like. HSAs are pre-tax
flexible savings plans, only to be used for medical purposes.
There have been a few comprehensive studies on the
‘under-insured’ by other groups. One of these groups is the
Commonwealth Fund. Their colleagues warn us "The coverage
erosion for adults with incomes 200% to 299% of poverty is now
putting middle- as well as low-income families at risk." Since
this serious situation more than warrants a study of its own, I
recommend referencing other articles, specific to this problem
like "Major 'Underinsured' Sector".
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