Census: Health benefits scarcer
By Julie Appleby, USA TODAY, Aug. 28, 2007
New numbers from the Census Bureau will likely fuel
political debate in Congress and statehouses about the growing problem of
the uninsured: Their ranks rose by 2.2 million in 2006.
Overall, 47 million people lacked health insurance
last year, the Census numbers released Tuesday showed, up from 44.8
million in 2005. The percentage of the U.S. population lacking health
insurance last year rose to 15.8%, the highest level since 1998. In 2005,
15.3% were uninsured.
The addition of more than 2 million people to the
uninsured comes as Congress and the White House wrangle about whether to
expand a program to insure children of low-income families. The Census
figures showed the percentage of uninsured children hit 11.7% last year,
up from 10.9% in 2005.
The House and Senate are working to reconcile two
bills that would expand the program by up to $50 billion over five years
so more children could be covered. President Bush has proposed a $5
billion increase over five years and threatened to veto any larger
expansion.
Already, many states are moving to enact their own
versions of health reform. Some, such as Illinois, have broadened coverage
for children and are now looking at expanding government programs to
include more adults. Massachusetts passed a law last year requiring
everyone to have insurance, and a similar proposal is under debate in
California.
Fueling the rise in uninsured in 2006 was a
continuing drop in the percentage of people who get their insurance
through their jobs. Job-based health insurance, which is the way most
people get their coverage, began falling in 2001. The percentage covered
by job-based insurance fell to 59.7%, from 60.2% in 2005.
Many jobs, particularly low-wage ones, don't come
with insurance. An additional 1.3 million full- or part-time workers were
uninsured last year compared with 2005, the Census found.
Reasons for the decline in coverage among workers
include fewer employers offering coverage and fewer workers enrolling,
even if their employers do provide insurance. Premiums rose 7.7% last
year, hitting $11,480 for a typical family plan offered by employers,
according to a survey by the Kaiser Family Foundation.
"Workers are struggling with the cost, and they're
declining (coverage)," often because the cost of premium increases is
rising far faster than wages, says Paul Fronstin, with the Employee
Benefit Research Institute, a non-partisan group in Washington.
While low-income households have the highest
uninsured rate, the rate rose fastest among those living in households
with annual incomes above $75,000, hitting 8.5%, up from 7.7% in 2005.
The Census Bureau also reported:
•19.3% of children in poverty lacked insurance.
•Hispanics had the highest rate of no insurance, with
34.1%, or 15.3 million, uninsured in 2006. The rate for African-Americans
increased to 20.5% from 19% in 2005, while the rate for whites was
statistically unchanged at 10.8%. The rate among Asians fell to 15.5% from
17.2%.
•Among the foreign-born population, the uninsured
rate for naturalized citizens was statistically unchanged at 16.4%, while
the uninsured rate for non-citizens increased to 45% from 43.1%.
Copyright 2007 USA TODAY, a division of Gannett Co.
Inc.