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Thursday, September 19, 2024

What would occur if we eradicated medical debt? – Healthcare Economist






Medical debt within the U.S. is a significant downside. Whereas over 90% of people have medical insurance, many individuals are uninsured and even these with insurance coverage could also be liable to excessive deductibles and copayments. A Kaiser Household Basis (KFF) evaluation makes use of information from Survey of Revenue and Program Participation (SIPP) and finds that:

…20 million individuals (practically 1 in 12 adults) owe medical debt…individuals in the US owe a minimum of $220 billion in medical debt. Roughly 14 million individuals (6% of adults) within the U.S. owe over $1,000 in medical debt and about 3 million individuals (1% of adults) owe medical debt of greater than $10,000. Whereas medical debt happens throughout demographic teams, individuals with disabilities or in worse well being, lower-income individuals, and uninsured individuals are extra prone to have medical debt. 

https://www.healthsystemtracker.org/transient/the-burden-of-medical-debt-in-the-united-states/
https://www.healthsystemtracker.org/transient/the-burden-of-medical-debt-in-the-united-states/

A key coverage query, then, is ‘what would occur if we eradicated half or all of this debt?’ In accordance with a paper by Kluender et al. (2024), the reply is ‘not a lot’.

We partnered with RIP Medical Debt to conduct two randomized experiments that relieved medical debt with a face worth of $169 million for 83,401 individuals between 2018 and 2020. We observe outcomes utilizing credit score reviews, collections account information, and a multimodal survey. There are three units of outcomes. First, we discover no influence of debt aid on credit score entry, utilization, and monetary misery on common. Second, we estimate that debt aid causes a average however statistically vital discount in fee of present medical payments. Third, we discover no impact of medical debt aid on psychological well being on common, with detrimental results for some teams in pre-registered heterogeneity evaluation.

The New York Occasions has further protection of this maybe stunning outcome.



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