The Impact of Family Labor Market Status on Access to Health Care

项目总结(见说明)： 对不同人群可用的有限资源是他们管理两者的能力的一个主要因素 并改善他们的健康状况。这个项目考察了个人的就业和劳动力市场状况 家庭成员影响家庭获得医疗保险和医疗保健的能力。之前的研究已经 数据显示，美国劳动力市场上的就业机会分成三个部分：“主要”、“次要”、 或者“中介”工作。好工作的定义是年收入超过120%的工作 对于一个典型的三口之家的贫困水平，雇主提供租金补贴，以及 雇主提供医疗保险；糟糕的工作被定义为没有这些东西的工作。 2005年，约26%的“中介工人”和100%的“二手工人”拥有 没有为他们提供医疗保险的工作。总体而言，45%的美国工人患有 没有为他们提供医疗保险的工作。在那些有工作的人中，几乎18人 %的人没有从任何来源获得医疗保险。而大多数美国人却退出了“第二选择” 劳动力市场到30岁时，少数族裔工人继续就业的风险增加 在“二级”或“中介”劳动力市场。因为雇主提供了健康 保险是美国提供医疗保健的主要机制，有可能 在不提供医疗保险的工作中，少数人的比例过高是一个主要问题 黑人和白人发病率和死亡率差距的原因。在努力获得一个 充分了解医疗保险的动态和不同的健康人群，这是 评估《平价医疗法案》可能产生的影响也很重要 针对贫富差距人群，发挥卫生资源配置的作用。

PROJECT SUMMARY (See instructions): The limited resources available to disparate populations are a major factor in their ability to both manage and improve their health. This project examines how the employment and labor market status of individual family members affect the family's ability to obtain health insurance and health care. Previous research has shown that jobs in the American labor market cluster into three segments: "primary", "secondary", or "intermediary" jobs. Good jobs are defined as jobs that have annual earnings above 120 percent ofthe poverty level for a typical family of three, an employer provided refirement benefit, and employer provided health insurance; bad jobs are defined as jobs that have none of these things. In 2005 about 26 percent of "intermediary workers" and 100 percent of "secondary workers" had jobs that did not provide them with health insurance. Overall 45 percent ofAmerican workers had jobs that did not provide them with health insurance. Ariiong those who were employed, almost 18 percent did not have health insurance from any source. While most Americans exit the "secondary" labor market by age thirty, minority workers have an increased risk of continued employment in either the "secondary" or the "intermediary" labor market. Because employer provided health insurance is the primary mechanism for delivering health care in the United States, it is possible that the overrepresentafion of minorifies in jobs that do not provide health insurance is a major reason for the morbidity and mortality disparity between blacks and whites. In an effort to gain a full understanding of the dynamics of health insurance and the health disparate populafion, it is important to also important to evaluate the probable affects which the Affordable Care Act may play in allocation of health care resources for the disparity populafion.