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High medical costs signal underlying problems

Quick View. Jan. 14, 2008.

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Medical communities
15
highest
cost
15
lowest
cost
Uninsured people 20.4% 8.8%
People with employer-sponsored insurance 49.0% 67.3%
Average annual out-of-pocket spending for privately insured $997 $775
Residents at or below 200% of poverty 42.1% 20.0%
Workers in jobs earning less than $10 an hour 33.6% 17.5%

Spending on health care is related to a community's economic well-being.

Communities with the highest per capita "medical cost burdens" -- spending on insurance premiums, prescription drugs and out-of-pocket expenses -- have more uninsured people, more low-wage jobs and more poor people than do areas with the lowest medical cost burdens. The high-burden communities were more likely to be in rural areas and the South, according to a November 2007 analysis by the Center For Studying Health System Change. Even insured residents in these communities face higher medical costs because their benefits are not as generous as those in low medical cost communities, suggested the report, which is available online.


Source: "Overburdened and Overwhelmed: The Struggles of Communities with High Medical Cost Burdens," Commonwealth Fund, November 2007 (www.commonwealthfund.org/publications/publications_show.htm?doc_id=583414).

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