The Real Problem With Covering the ‘Uninsured’, Pt.1 – The
simple baseline.
Our nation is on the precipice of sweeping changes in our
health insurance/care system that could dramatically change
our way of life. But the focus has been deflected away from
the driving forces that will actually determine how. Let’s
start by explaining the conventional estimates of covering the
46 million Americans without health insurance. The common
baseline is taken from the estimated 2008 personal healthcare
costs. They are estimated at $2 trillion. Next, consider that
the 46 million without health insurance that need to be
covered is about 17% of our total population.
The rule-of-thumb is that those without health insurance are
only costing about half as much as those who have health
insurance. So let’s cut their portion in half: 17% / 2 = 8.5%.
Pseudo-justification is now applied here that the average age
of those without health insurance is younger then the whole.
The simple logic is that the young are uninsured because they
don’t have the need for as much health care. So let’s knock a
couple more percentage points off – say 2%: 8.5% - 2 % = 6.5%.
Now 6.5% of the whole $2 trillion = $130 billion to provide
health insurance/care to the ~46 million Americans who have
none now.
Can we trust this very simple formula with the complexity of
the reality that must exist? The answer is ‘yes’, according to
a publication on the Health Affairs Web site from researchers
and co-authors: Jack Hadley of George Mason University and John
Holahan of the Urban Institute. The report provides a very
detailed estimate of providing affordable health insurance/care
to all of the uninsured Americans, arriving at a $122.6 billion
total.
Continued…
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