KRLD Radio

The Business of Health Care Report
The Uninsured Problem Rages On - January 2004


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Doug Hawthorne, President and CEO of Texas Health Resources I'm Doug Hawthorne, President and CEO of Texas Health Resources, with "The Business of Health Care Report" on News Radio 1080 KRLD.

Today, I'd like to continue our discussion about health care and the issues affecting it - with a focus on the uninsured problem.

About 15 percent of this country's citizens are uninsured, and Texas has the dubious distinction of having the most uninsured residents - per capita - of any state in the union at a staggering 24 percent.

The ramifications of such large numbers of uninsured Americans sends shock waves throughout health care. People with no insurance tend to put off seeking health care until their conditions deteriorate. Then, when their illness or disability gives them no choice, they often seek care at hospital emergency departments, contributing to problems of overcrowding, adding to the cost of their care, and straining hospital finances.

While income is a factor - 80 percent of uninsured Americans have incomes well below poverty level - the majority live in households where at least one family member has a job. That statistic is misleading, however, since 80 percent of those people have jobs that don't offer health coverage.

This group commonly is referred to as the working uninsured and poses the biggest challenge. Most have no ongoing physician relationship; they pay cash or use credit cards; or use hospital emergency departments for episodic care, which may or may not get paid for.

Younger workers and students, who no longer are covered through their parents' insurance or who believe they don't need health coverage, contribute to the swelling uninsured ranks. As do self-employed workers, who often can't afford individual, family or small group coverage.

While the circumstances for the growing number of uninsured Americans are varied, the end result is simple. Until something changes, other efforts to improve health care will be done with one arm tied behind our backs.

For Texas Health Resources and its family of hospitals - Harris Methodist Hospitals, Presbyterian Healthcare System and Arlington Memorial Hospital - I'm CEO Doug Hawthorne with "The Business of Health Care Report" on NewsRadio 1080 KRLD.

Doug Hawthorne

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