Medical bills underlie 60 percent of U.S. bankruptcies

Thu Jun 4, 2009 7:07am EDT
By Maggie Fox, Health and Science Editor

http://www.reuters.com/article/newsOne/idUSTRE5530Y020090604


WASHINGTON (Reuters) - Medical bills are involved 
in more than 60 percent of U.S. personal 
bankruptcies, an increase of 50 percent in just 
six years, U.S. researchers reported on Thursday.

More than 75 percent of these bankrupt families 
had health insurance but still were overwhelmed 
by their medical debts, the team at Harvard Law 
School, Harvard Medical School and Ohio 
University reported in the American Journal of 
Medicine.

"Using a conservative definition, 62.1 percent of 
all bankruptcies in 2007 were medical; 92 percent 
of these medical debtors had medical debts over 
$5,000, or 10 percent of pretax family income," 
the researchers wrote.

"Most medical debtors were well-educated, owned 
homes and had middle-class occupations."

The researchers, whose work was paid for by the 
Robert Wood Johnson Foundation, said the share of 
bankruptcies that could be blamed on medical 
problems rose by 50 percent from 2001 to 2007.

"Unless you're Warren Buffett, your family is 
just one serious illness away from bankruptcy," 
Harvard's Dr. David Himmelstein, an advocate for 
a single-payer health insurance program for the 
United States, said in a statement.

"For middle-class Americans, health insurance 
offers little protection," he added.

The United States is embarking on an overhaul of 
its healthcare system, which is now a patchwork 
of public programs such as Medicare and 
employer-sponsored health insurance that leaves 
15 percent of the population -- 46 million people 
-- with no coverage.

About 170 million people get health insurance 
through an employer but President Barack Obama 
says soaring healthcare costs are hurting the 
economy and forcing businesses to drop medical 
insurance for their workers.

CANCELED COVERAGE

"Nationally, a quarter of firms cancel coverage 
immediately when an employee suffers a disabling 
illness; another quarter do so within a year," 
the report reads.

Obama told Congress on Wednesday he was open to 
making mandatory health insurance part of the 
overhaul but only with exemptions for the poor 
and for small businesses.

Neither Congress nor Obama are considering the 
kind of single-payer plan advocated by 
Himmelstein and his colleague Dr. Steffie 
Woolhandler.

"We need to rethink health reform," Woolhandler 
said. "Covering the uninsured isn't enough.

"Only single-payer national health insurance can 
make universal, comprehensive coverage affordable 
by saving the hundreds of billions we now waste 
on insurance overhead and bureaucracy."

The researchers surveyed 2,134 random families 
who filed for bankruptcy between January and 
April in 2007, before the current recession began.

They used public bankruptcy court records and 
survey 1,032 respondents by telephone.

While only 29 percent directly blamed medical 
bills for their bankruptcy, 62 percent had 
medical bills that totaled more than 10 percent 
of family income, said an illness was 
responsible, had lost income due to illness or 
some other medical factor.

"Among common diagnoses, nonstroke neurologic 
illnesses such as multiple sclerosis were 
associated with the highest out-of-pocket 
expenditures (mean $34,167), followed by diabetes 
($26,971), injuries ($25,096), stroke ($23,380), 
mental illnesses ($23,178), and heart disease 
($21,955)," the researchers wrote.

(Editing by Bill Trott)


© Thomson Reuters 2009. All rights reserved. 
Users may download and print extracts of content 
from this website for their own personal and 
non-commercial use only. Republication or 
redistribution of Thomson Reuters content, 
including by framing or similar means, is 
expressly prohibited without the prior written 
consent of Thomson Reuters. Thomson Reuters and 
its logo are registered trademarks or trademarks 
of the Thomson Reuters group of companies around 
the world.

Thomson Reuters journalists are subject to an 
Editorial Handbook which requires fair 
presentation and disclosure of relevant interests.


=========================


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<http://www.reuters.com/article/newsOne/idUSTRE5530Y020090604>http://www.reuters.com/article/newsOne/idUSTRE5530Y020090604

Medical bills underlie 60 percent of U.S. bankruptcies: study

Thu Jun 4, 2009 7:07am EDT

By 
<http://blogs.reuters.com/search/journalist.php?edition=us&n=Maggie.Fox>Maggie 
Fox, 
<http://blogs.reuters.com/search/journalist.php?edition=us&n=Health.and>Health 
and 
<http://blogs.reuters.com/search/journalist.php?edition=us&n=Science.Editor>Science
 
Editor

WASHINGTON (Reuters) - Medical bills are involved 
in more than 60 percent of U.S. personal 
bankruptcies, an increase of 50 percent in just 
six years, U.S. researchers reported on Thursday.

More than 75 percent of these bankrupt families 
had health insurance but still were overwhelmed 
by their medical debts, the team at Harvard Law 
School, Harvard Medical School and Ohio 
University reported in the American Journal of 
Medicine.

"Using a conservative definition, 62.1 percent of 
all bankruptcies in 2007 were medical; 92 percent 
of these medical debtors had medical debts over 
$5,000, or 10 percent of pretax family income," 
the researchers wrote.

"Most medical debtors were well-educated, owned 
homes and had middle-class occupations."

The researchers, whose work was paid for by the 
Robert Wood Johnson Foundation, said the share of 
bankruptcies that could be blamed on medical 
problems rose by 50 percent from 2001 to 2007.

"Unless you're Warren Buffett, your family is 
just one serious illness away from bankruptcy," 
Harvard's Dr. David Himmelstein, an advocate for 
a single-payer health insurance program for the 
United States, said in a statement.

"For middle-class Americans, health insurance 
offers little protection," he added.

The United States is embarking on an overhaul of 
its healthcare system, which is now a patchwork 
of public programs such as Medicare and 
employer-sponsored health insurance that leaves 
15 percent of the population -- 46 million people 
-- with no coverage.

About 170 million people get health insurance 
through an employer but President Barack Obama 
says soaring healthcare costs are hurting the 
economy and forcing businesses to drop medical 
insurance for their workers.

CANCELED COVERAGE

"Nationally, a quarter of firms cancel coverage 
immediately when an employee suffers a disabling 
illness; another quarter do so within a year," 
the report reads.

Obama told Congress on Wednesday he was open to 
making mandatory health insurance part of the 
overhaul but only with exemptions for the poor 
and for small businesses.

Neither Congress nor Obama are considering the 
kind of single-payer plan advocated by 
Himmelstein and his colleague Dr. Steffie 
Woolhandler.

"We need to rethink health reform," Woolhandler 
said. "Covering the uninsured isn't enough.

"Only single-payer national health insurance can 
make universal, comprehensive coverage affordable 
by saving the hundreds of billions we now waste 
on insurance overhead and bureaucracy."

The researchers surveyed 2,134 random families 
who filed for bankruptcy between January and 
April in 2007, before the current recession began.

They used public bankruptcy court records and 
survey 1,032 respondents by telephone.

While only 29 percent directly blamed medical 
bills for their bankruptcy, 62 percent had 
medical bills that totaled more than 10 percent 
of family income, said an illness was 
responsible, had lost income due to illness or 
some other medical factor.

"Among common diagnoses, nonstroke neurologic 
illnesses such as multiple sclerosis were 
associated with the highest out-of-pocket 
expenditures (mean $34,167), followed by diabetes 
($26,971), injuries ($25,096), stroke ($23,380), 
mental illnesses ($23,178), and heart disease 
($21,955)," the researchers wrote.

(Editing by Bill Trott)


© Thomson Reuters 2009. All rights reserved. 
Users may download and print extracts of content 
from this website for their own personal and 
non-commercial use only. Republication or 
redistribution of Thomson Reuters content, 
including by framing or similar means, is 
expressly prohibited without the prior written 
consent of Thomson Reuters. Thomson Reuters and 
its logo are registered trademarks or trademarks 
of the Thomson Reuters group of companies around 
the world.

Thomson Reuters journalists are subject to an 
Editorial Handbook which requires fair 
presentation and disclosure of relevant interests.


=========================


In accordance with Title 17 U.S.C. Section 107, 
this material is distributed without profit to 
those who have expressed a prior interest in 
receiving the included information for research 
and educational purposes. 

You are receiving this message because you are 
signed up to be on Baltimore News Network's News 
List. To be removed, please send a reply message 
with REMOVE in the subject line.

For information about Baltimore News Network, 
Inc., a 501(c)(3) organization, or to make a 
donation to BNN via PayPal, visit 
<http://baltimorechronicle.com>http://baltimorechronicle.com.
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