Nathaniel M. Tran (
Samuel Mann, Vanderbilt University.
Health Aff (Millwood). 2023 Sep;42(9):1283-1288. doi: 10.1377/hlthaff.2023.00201.
Among US adults in 2013-18, we found high-deductible health plan enrollment to be the lowest among heterosexual and gay/lesbian adults in families with incomes below 200 percent of the federal poverty level and the highest among bisexual adults in families with incomes at or above 400 percent of poverty. Gay/lesbian and bisexual adults in these plans experienced greater financial barriers to health care than heterosexual adults.
在 2013 年至 2018 年期间,我们发现,在收入低于联邦贫困线 200%的家庭中,异性恋和同性恋/双性恋成年人中选择高免赔额健康计划的比例最低,而在收入达到或超过贫困线 400%的家庭中,双性恋成年人选择高免赔额健康计划的比例最高。在这些计划中的同性恋/双性恋成年人比异性恋成年人面临更大的医疗保健财务障碍。