Kuttner Hanns, Rutledge Matthew S
Economic Research Initiative on the Uninsured, School of Public Health, University of Michigan, in Ann Arbor, USA.
Health Aff (Millwood). 2007 Nov-Dec;26(6):1745-52. doi: 10.1377/hlthaff.26.6.1745.
Massachusetts plans to penalize those who do not have health insurance, targeting higher-income people. Are higher-income Americans a small or substantial share of the uninsured? The U.S. Census Bureau reports that one in three Americans without health insurance lived in a household with income greater than $50,000 in 2005. Many of these higher-income uninsured people do not fit the profile of free-riders who have the money but are unwilling to buy coverage. A majority have lower incomes but live with others; only together are they higher income. For others, higher income or lack of insurance is transient.
马萨诸塞州计划对未购买医疗保险的人进行处罚,目标是高收入人群。在美国,未参保人群中高收入者占比是小还是大呢?美国人口普查局报告称,2005年,三分之一没有医疗保险的美国人生活在收入超过5万美元的家庭中。这些高收入未参保人群中,许多并不符合那种有钱却不愿购买保险的搭便车者形象。大多数人的收入较低,但与他人同住;只有合在一起他们才属于高收入群体。对另一些人来说,高收入或未参保只是暂时的。