The 2007-09 Recession And Health Insurance Coverage

The 2007-09 Recession And Health Insurance Coverage
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DOI:
10.1377/hlthaff.2010.1003
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发表时间:
2011-01-01
期刊:
影响因子:
9.7
通讯作者:
Holahan, John
Holahan, John
中科院分区:
医学1区
文献类型:
--
作者:
Holahan, John

文献摘要

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在最近的经济衰退期间(2007-09 年),失业和收入下降意味着 500 万美国人失去了基于就业的医疗保险。所有美国人群体都受到了影响,但对于白人、本土出生的公民以及中西部和南部居民来说,未参保人数的增长尤其明显。成年人从旨在抵消雇主赞助保险下降的公共计划中获得的好处远不如儿童那么多,因此承担了不断增加的不保险的全部负担。在过去的十年中,即使在经济繁荣时期,拥有雇主资助保险的美国人人数也有所下降,而未参保的美国人人数却有所增加。这一发现强调了《平价医疗法案》下计划扩大覆盖范围的重要性。
Loss of employment and declining incomes meant that five million Americans lost employment-based health insurance during the recent economic recession (2007-09). All groups of Americans were affected, but the growth in the number of uninsured people was particularly noticeable for whites, native-born citizens, and residents of the Midwest and South. Adults did not benefit nearly as much as children from public programs designed to offset the decline in employer-sponsored insurance and thus bore all of the burden of rising uninsurance. Throughout the past decade, even in good economic times, the number of Americans with employer-sponsored insurance has fallen, and the number of uninsured Americans has increased. This finding underscores the importance of planned coverage expansions under the Affordable Care Act.