Why Are People Uninsured?

  • Nancy J. Johnson


Lisa and Gary are responsible parents and follow the advice of their pediatrician in raising their two young children. They do not have access to employer group insurance in that Gary is self-employed as a music production supervisor and Lisa is at home with the children. However, as careful healthcare consumers, they purchased individual premiums for each of them as well as each of the children. Then last spring, they received a rejection notice from their insurance company for the youngest child. The reason was a congenital hip misalignment of their 18- month daughter, which the pediatrician had determined ‘minor’ and most likely ‘temporary’. However, the insurance company determined the baby ‘uninsurable’ due to the need for monitoring and radiology services. Since then, they have not been able to replace the insurance coverage for their young daughter and she is ineligible for government-funded health programs due to the family’s income.


Health Insurance Medical Insurance Federal Poverty Level Family Coverage Health Insurance Premium 
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  1. Center for Communicable Disease (2007) The state of aging and health in America. Center of Disease Control and Prevention, Atlanta, pp 1–46Google Scholar
  2. Commonwealth Fund (2004) Affordability crisis in healthcare. Issue BriefGoogle Scholar
  3. Cunningham PJ (2007) Identifying affordable sources of medical care among uninsured persons. Available at Accessed 29 Nov 2008
  4. Employee Benefit Research Institute (2007) 2007 Health confidence survey: rising costs are changing the ways Americans use the healthcare system. Available at Accessed 23 Nov 2008
  5. Families USA (2008) Failing Grades: State Consumer Protection in the Individual Health Insurance Market. Families USA. Available at: Accessed 28 Sept 2009
  6. Flores G, Abreu M, Brown V, Tomany-Korman SC (2005) How Medicaid and the State Children’s Health Insurance Program can do a better job of insuring uninsured children: the perspectives of parents of uninsured Latino children. Ambul Pediatr 5(6):332–340Google Scholar
  7. Georgetown University Health Policy Institute (2005) Falling through the cracks: Stories of how health insurance can fail people with diabetes, pp 1–48Google Scholar
  8. HealthNet of Arizona (2008) Interview re: employer provided plans with Provider Network Representative, July 8, 2008Google Scholar
  9. Holahan J, Cook A (2008) Changes in economic conditions and health insurance coverage, 2000–2004. Health Affairs, Available at Accessed 12 Oct 2008
  10. Holahan J, Cook A (2008) The decline in the uninsured in 2007: why did it happen and can it last? Kaiser Family Foundation, Washington, DC, pp 1–19Google Scholar
  11. (2008) Accessed 1 April 2008
  12. (2008) Accessed 12 April 2008
  13. (2008) Accessed 28 Nov 2008
  14. Institute of Medicine (2003) Uninsurance facts and figures: the uninsured are sicker and die soonerGoogle Scholar
  15. Kaiser Family Foundation (2006) The uninsured: a primer key facts about Americans without health insurance. The Kaiser Commission on Medicaid and the UninsuredGoogle Scholar
  16. Kaiser Family Foundation (2008) Few low-income uninsured buy non-group coverage. Available at Accessed 12 Oct 2008
  17. National Association for State Comprehensive Health Insurance Plans (2008) Available at Accessed 30 Nov 2008
  18. National Institute for Health Care Management Foundation (2008) Available at Accessed 6 July 2008
  19. Robert Wood Johnson Foundation (2005) Why are people uninsured? Available at Accesssed 16 Oct 2008
  20. St. Luke’s Health Initiatives (2007) Arizona health futures: employer-sponsored health insurance coverage, pp 1–7Google Scholar
  21. US Census Bureau (2006) Health insurance statistics. Available at Accessed 15 Oct 2008
  22. US Census Bureau (2008) Health insurance statistics. Available at Accessed 21 Nov 2008
  23. US Department of Health and Human Services (2002) Medical expenditure panel survey. Available at Accessed 17 March 2008

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.El Rio Community Health CenterTucsonUSA

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