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眼见为“红”:美国家庭面临的医疗账单和债务负担日益加重。

Seeing red: the growing burden of medical bills and debt faced by U.S. families.

作者信息

Doty Michelle M, Collins Sara R, Rustgi Sheila D, Kriss Jennifer L

机构信息

Commonwealth Fund, USA.

出版信息

Issue Brief (Commonw Fund). 2008 Aug;42:1-12.

Abstract

Analysis of the 2007 Commonwealth Fund Biennial Health Insurance Survey finds the proportion of working-age Americans who struggled to pay medical bills and accumulated medical debt climbed from 34 percent to 41 percent, or 72 million people,between 2005 and 2007. In addition, 7 million adults age 65 and older had these problems,bringing the total to 79 million adults with medical debt or bill problems. All income groups reported an increase. Families with low or moderate incomes were particularly hard hit, as were adults who had gaps in health coverage or those underinsured. Because of medical bills or accumulated medical debt, an estimated 28 million adults reported they used up all their savings, 21 million incurred large credit card debt, and another 21 million were unable to pay for basic necessities. Sixty-one percent of those with medical debt or bill problems were insured at the time care was provided.

摘要

对2007年英联邦基金会两年一度的医疗保险调查分析发现,在2005年至2007年间,难以支付医疗账单并累积医疗债务的美国劳动年龄人口比例从34%攀升至41%,即7200万人。此外,700万65岁及以上的成年人也有这些问题,使面临医疗债务或账单问题的成年人总数达到7900万。所有收入群体的情况都有所增加。低收入或中等收入家庭受到的打击尤为严重,健康保险存在缺口的成年人或保险不足的成年人也是如此。由于医疗账单或累积的医疗债务,估计有2800万成年人表示他们花光了所有积蓄,2100万人背负了大量信用卡债务,另有2100万人无法支付基本生活必需品。在接受治疗时,61%有医疗债务或账单问题的人已参保。

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