SP is the after Surcharge Premium for an uninsured person
of age i.
For an uninsured person
with a mental illness, the ER has become the new inpatient ward.
It was, from 1995 to 1997, eighth in number of uninsured persons
under 65, 50th in spending on home health care, 51st in Medicaid payments per adult or child, second worst in population underserved by primary care physicians.
The number of uninsured persons
has continued to increase, from roughly 30.
These data indicate that uninsured persons
accounted for nearly one-fifth of the 120 million hospital-based emergency department visits in 2006.
In the report Medicaid Expansion and Mental Health Care, NAMI lists 21 states in which the proportion of uninsured persons
who would benefit from Medicaid expansion and are living with mental illness totals 20 to 30 percent.
As I show below, if the study using CPS data had been able to control for self-reported health status and smoking behavior, the authors would almost certainly have concluded that their best estimate was that there was no difference in the survival probabilities of otherwise similar insured and uninsured persons
Since then, our healthcare expenditures have skyrocketed; the number of uninsured persons
has increased dramatically; and states such as Massachusetts and Minnesota have undertaken major universal health insurance reform efforts.
Increasing health care costs and declining employment-based coverage are often seen as factors behind the steady increase in the number of uninsured persons
(Employee Benefits Research Institute, 1995).
Table 2 Access to Basic Health Care among Adult Montanans, August 1992 Have a regular doctor All respondents (n=402) 78% Insured persons (n=337) 82% Uninsured persons
(n=65) 57% Have a regular doctor in own community All respondents (n=402) 62% Insured persons (n=337) 66% Uninsured persons
(n=65) 43% Proximity to hospital or medical assistance facility of some type (n=402) Within 10 miles of residence 79% 11 to 25 miles from residence 12% Over 25 miles from residence 8% Believe most basic health care services are available in own community (n=402) 89% Need or would like to have other health care services in own community (n=402) 20% Source: Bureau of Business and Economic Research, The University of Montana.
The Managed Risk Medical Insurance Board (MRMIB) was created in 1990 with a broad mandate to advise the Governor and the Legislature on strategies for reducing the number of uninsured persons
in the state of California.
Taken together, the study predicts that shifts of currently insured people from high-risk pools, the employer market, and previously uninsured persons
who must pay most or all the cost of coverage to the individual market, will overwhelm the expected lower costs anticipated by the influx of newly-insured persons in the exchanges receiving federal benefit and premium subsidies.