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Solving the problem of the uninsured.

D V Shaw1

  • 1Harvard Medical School, Dept. of Ob/Gyn, Brigham and Women's Hospital, 75 Francis Street, ASB1 3-073, Boston, MA 02115, USA. dshaw@partners.org

The Journal of Medical Practice Management : MPM
|April 25, 2001
PubMed
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The number of uninsured Americans declined by 1.7 million in 1999, but remained high at 42.6 million. This decrease may be linked to full employment, with the poor remaining largely uninsured.

Area of Science:

  • Health Economics
  • Public Health Policy

Background:

  • The number of uninsured Americans has been rising for 12 years.
  • A 1.7 million decrease in the uninsured population was observed in 1999.
  • Despite the decrease, 42.6 million Americans remained uninsured.

Purpose of the Study:

  • To profile the uninsured population in America.
  • To analyze the impact of healthcare's commodification on insurance coverage.
  • To review existing initiatives and propose an alternative solution for healthcare coverage.

Main Methods:

  • Analysis of trends in the uninsured population.
  • Examination of the relationship between employment status and health insurance acquisition.
  • Review of government programs and market-based initiatives.

Related Experiment Videos

Main Results:

  • A 1.7 million decline in uninsured individuals occurred in 1999, potentially linked to economic full employment.
  • The number of uninsured poor remained largely unchanged.
  • Employment-based insurance was a significant factor in the observed decrease.

Conclusions:

  • The decline in uninsured individuals in 1999 may be temporary and linked to economic conditions.
  • Healthcare's evolution into a market commodity contributes to high uninsured rates.
  • Current programs have limitations, necessitating alternative approaches to expand coverage.