Berki S E, Wyszewianski L, Lichtenstein R, Gimotty P A, Bowlyow J E, Papke M E, Smith T B, Crane S C, Bromberg J
Med Care. 1985 Jul;23(7):847-54. doi: 10.1097/00005650-198507000-00002.
Of 1,332 unemployed individuals in the Detroit area interviewed in late 1983, 51% did not have health insurance. Lack of insurance was directly related to length of unemployment. Of those unemployed 3 months or less, 31% had no insurance, as compared with 56% of those unemployed more than 3 years. For the most part, these were not the chronically uninsured: 78% of them were insured when they were employed. Three fourths of those without insurance were not covered by Medicaid either. These findings suggest that during the latest economic recession, the problem of health insurance loss due to losing one's job was more severe than had been assumed by most policymakers.
在1983年末接受访谈的底特律地区1332名失业人员中，51%没有医疗保险。保险缺失与失业时长直接相关。在失业3个月及以内的人员中，31%没有保险，而失业超过3年的人员中这一比例为56%。在很大程度上，这些人并非长期无保险者：他们中有78%在就业时拥有保险。四分之三没有保险的人也未被医疗补助计划覆盖。这些发现表明，在最近的经济衰退期间，因失业导致医疗保险丧失的问题比大多数政策制定者所设想的更为严重。
