Abstract
The Andersons are a family of four. Jim Anderson is 35 years old and works for a local taxi company. The company offers health insurance only to full-time employees (minimum of 40 hours per week), but Jim could not afford the 40% employee premium contribution, so he decided not to purchase the company’s health insurance plan. Liz Anderson is 33 years old and works part time (20 hours per week) for a local gift shop that does not offer health insurance benefits to their employees. Jim and Liz have two children; Sally, 13 years old, and Bud, 10 years old. The Andersons are an uninsured family who are not eligible for the Medicaid program because their family income is too high. Although the children would be eligible for the State Children’s Health Insurance Program, Jim and Liz decided not to enroll the children because of the costly monthly premiums.
The Andersons do not have a personal family physician, but use the local Community Health Center once in a while. Although the Community Health Center offers a sliding scale for the Andersons, they rarely use it unless there is an urgent health issue or something is required for work or school.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American College of Physicians (2004) Patient-centered, physician-guided care for the chronically III: The American College of Physicians Prescription for Change, Oct 2004. Available at: http://www.worldcongress.com/events/nw600/pdf/luminarySeriesPDF/Tooker_1.pdf. Accessed 28 Sept 2009
U.S. Census Bureau (2007a) Health Insurance Historical Tables 4, 6 and 7. Available at http://www.census.gov/hhes/www/hlthins/historic/hihistt4.html. Accessed 9 July 2007
U.S. Census Bureau (2007b) Annual Social Economic (ASEC) Supplement Table HI10. Available at http://pubdb3.census.gov/macro/032007/health/h01001.htm. Accessed 30 Sept 2007
U.S. Census Bureau (2008) Income, Poverty, and Health Insurance Coverage in the United States: 2007. Available at http://www.census.gov/prod/2008pubs/p60-235.pdf. Accessed 28 Sept 2009
Centers for Disease Control and Prevention (2007a) Behavioral risk factor surveillance system: Prevalent data nationwide 2005. Available at: http://apps/need.cdc.gov/brfss/display.asp?cat=HC&yr=2005&qkey=868&state=UB. Accessed 1 Oct 2007
Centers for Disease Control and Prevention (2007b) Summary of health statistics for the U.S. population: National Health Interview Survey 2005. Series 10, Number 233
Davidoff A, Kenny G (2005) Uninsured Americans with chronic health conditions: Key findings from the National Health Interview Survey. Robert Wood Johnson Foundation, pp 1–22. Available at: http://www.urban.org/UploadedPDF/411161_uninsured_americans.pdf. Accessed 28 Sept 2009
Democratic Policy Committee (2003) The uninsured in America: Expert panel spotlights Consequences of not having health insurance. Available at: http://democrats.senate.gov/dpc/dpc-new.cfm?docname=fs-108-1-355. Accessed 1 Oct 2007
DeNavas C, Proctor B, Smith J (2007) Income, poverty, and health insurance coverage in the United States: 2006. U.S. Census Bureau, Current Population Reports: Consumer Income. pp 1–78
Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (2005) Overview of the uninsured in the United States: An analysis of the 2005 Current Population Survey. Issue Brief, pp 1–11
U.S. DHHS (2008) 2007 National Healthcare Disparities Report. U.S. Agency for Healthcare Research and Quality, Rockville, MD
Doty MM, Holmgren AL (2006) Health care disconnect: Gaps in coverage and care for minority adults. Commonwealth Fund. Issue Brief, pp 1–11
Eng HJ, Resnick C, Yordy K, DuVal M, Vogel R, Brill J, Paz-Ono E, Parces M, Voloudakis M, Khandokar I, Clarihew B, Jacobs J (2002) Health care coverage in Arizona: Full Assessment. Southwest Border Rural Health Research Center, pp 1–55
Family USA (2005) Paying a premium: The added cost of care for the uninsured. A Report by Family USA, pp 1–17
Fronstin P (2006) Sources of health insurance and characteristics of the uninsured: Analysis of the March 2006 Current Population Survey. Employee Benefit Research Institute. Issue Brief, pp 1–30
Hadley J (2006) Cover Missouri project report: Consequences of lack of health insurance on health and earnings. Missouri Foundation for Health, pp 1–21. Available at:http://www.urban.org/UploadedPDF/1001001_CoverMo1.pdf. Accessed 28 Sept 2009
Hadley J (2007) Insurance coverage, medical care use, and short-term health changes following an unintended injury or onset of a chronic condition. J Am Med Assoc 297(10):1073–1084
Hadley J, Holahan J, Cook A (2004) The cost of care for the uninsured: What do we spend, who pays, and what would full coverage add to medical spending? Kaiser Commission on Medicaid and Uninsured: Issue Paper, pp 1–14
Healthcare Leadership Council (2007) The uninsured. Available at: http://www.hlc.org/html/uninsured.html. Accessed 1 Oct 2007
Himmelstein DU, Warren E, Thorne D, Woolhander S (2005) Market watch:Illness and injury as contributors to bankruptcy. Health Aff 10:63–73. Available at: http://content.healthaffairs.org/cgi/reprint/hlthaff.w5.63v1. Accessed 28 Sept 2009
Holahan J, Cook A (2007) What happened to the insurance coverage of children and adults in 2006? The Kaiser Commission on Medicaid and Uninsured. Issue Paper, pp 1–10
Institute of Medicine (2000) America’s Health Care Safety Net: Intact but Endangered. National Academies Press. Available at http://books.nap.edu/openbook.php?record_id=9612&page=47. Accessed 28 Nov 2008
Institute of Medicine (2001) Coverage matters: Insurance and health care. National Academy Press, Washington, DC, pp 1–8
Institute of Medicine (2003) Hidden costs, value lost: Uninsured in America. pp 1–196
Kaiser Commission on Medicaid and the Uninsured (2002) Sicker and poorer: The consequences of being uninsured, pp 1–24
Kaiser Commission on Medicaid and the Uninsured (2006) Fast facts. Henry Kaiser Family Foundation
Kaiser Commission on Medicaid and the Uninsured (2006) The uninsured: A primer – key facts about Americans without health insurance, pp 1–45
Kaiser Family Foundation (2008) Five basic facts on the uninsured. Available at: http://www.kff.org. Accessed 29 Nov 2008
Kaiser Family Foundation and Health Research and Educational Trust (2005) Employer health benefits 2005 summary of findings, pp 1–8
Kaiser Family Foundation and Health Research and Educational Trust (2006) Employer health benefits 2006 summary of findings, pp 1–8
Kellermann A (2003) A shared destiny: Effects of uninsurance on individuals, families, and communities. Testimony before Subcommittee on Labor, Health and Human Services, and Education Committee on Appropriations, U.S. Senate. Available at: http://www7.nationalacademies.org/ocga/testimony/healthcareaccessaffordability.asp. Accessed 1 Oct 2007
Long S (2003) Hardship among the uninsured: Choosing among food, housing, and health insurance. The Urban Institute, pp 1–7
Okoro CA, Young SL, Strine TW, Balluz LS, Mokdad AH (2005) Uninsured adults aged 65 years and older: Is their health at risk? J Health Care Poor Underserved 16(3):453–463
Patchias EM, Waxman J (2007) Women and health coverage: The affordability gap. Commonwealth Fund. Issue Brief, pp 1–11
Public Health Reports (2003) Community consequences of lack of health insurance. Public Health Reports: News and Notes 118:382–383
Rhoades JA (2006) The uninsured in America: First half of 2005: Estimates for the civilian noninstitutional population under age 65. Agency for Healthcare Research and Quality, MEPS Statistical Brief #129
Robert Wood Johnson Foundation (2006) The consequences of uninsurance. Available at http://statecoverage.net/coverage/consequences.htm. Accessed 1 Oct 2007
Schwartz K (2007a) Spotlight on uninsured parents: How a lack of coverage affects parents and their families. Kaiser Commission on Medicaid and Uninsured, pp 1–7
Schwartz K, Artiga S (2007b) Health insurance coverage and access to care for low income non-citizen adults. Commonwealth Fund, Issue Brief, pp 1–11
State Health Access Data Assistance Center (SHADAC) (2006) The coverage gap: A state by state report on access to care, pp 1–25
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Eng, H. (2010). Who Are the Uninsured?. In: Johnson, N., Johnson, L. (eds) The Care of the Uninsured in America. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78309-3_1
Download citation
DOI: https://doi.org/10.1007/978-0-387-78309-3_1
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-78307-9
Online ISBN: 978-0-387-78309-3
eBook Packages: MedicineMedicine (R0)