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Insured but unable to afford health care

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Press Release


April 25, 2013


Steffie Woolhandler, M.D., M.P.H., cell: (617) 312-2766 ,

David Himmelstein, M.D., cell: (617) 312-0970 ,

Mark Almberg, PNHP, (312) 782-6006 , cell: (312) 622-0996 ,

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Insured but unable to afford health care

Affordable Care Act will leave tens of millions underinsured, facing choice between "life or debt,' say Journal of General Internal Medicine editorialists

In an editorial responding to a new study on skimpy health insurance among low-income, insured Americans, two policy experts review extensive data showing that tens of millions of insured Americans have grossly inadequate coverage, and that the problem of underinsurance is growing.

The editorial in the Journal of General Internal Medicine (JGIM) was approved by the journal's editors for publication on today's date and will appear on its website next week. The text of the article is available here .

Paradoxically, the Affordable Care Act (ACA) may actually increase underinsurance, say the editorialists, Drs. Steffie Woolhandler and David Himmelstein.

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"Obamacare is lowering the bar for health insurance," said Dr. Himmelstein, a professor of public health at the City University of New York and primary care doctor. "The new coverage sold through the insurance exchanges will leave many families paying 40 percent of their health costs out-of-pocket even after they've laid out thousands for premiums. And the administration is allowing states to institute co-payments under Medicaid, even for the poorest of the poor."

Himmelstein continued: "Under the ACA a 56-year-old making $46,100 will pay a premium of $10,585 for coverage through the exchange and still face up to $6,250 in co-payments and deductibles."

Dr. Woolhandler, the lead author of the editorial who is also a physician and professor of public health at CUNY, said: "Over the past 25 years the financial protection offered by health insurance has steadily eroded. The consequences are grave, not only financially but also medically. For instance, we know that heart attack patients who face high co-payments delay coming to the ER, threatening their lives."

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