Treatment Gaps Persist Between Low- And High-Income Workers, Even With Insurance | Kaiser Health News

So, is it lack of affordable health care, lack of information, low education levels, a total low income environment …⁉️. One thing to consider; whatever it is, the Republican concept of free market health care is unlikely to make things better. 

Low-wage workers with job-based health insurance were significantly more likely than their higher-income colleagues to wind up in the emergency department or be admitted to the hospital, in particular for conditions that with good primary care shouldn’t result in hospitalization, a new study found.

At the same time, low-wage workers were much less likely to get preventive care such as mammograms and colonoscopies, even though many of those services are available without cost-sharing under the 2010 health law. There’s no single reason for the differences in health care use by workers at different wage levels, said Dr. Bruce Sherman, an assistant clinical professor at Case Western Reserve University in Cleveland and the study’s lead author, which was published in the February issue of Health Affairs.

Finances often play a role. Half of workers with employer-sponsored insurance are enrolled in plans with a deductible of at least $1,000 for single coverage. As deductibles and other out-of-pocket costs continue to rise, low-wage workers may opt to pay the rent and put food on the table rather than keep up-to-date with regular doctor visits and lab work to manage their diabetes, for example.

Likewise, convenient access to care can be problematic for workers at the lower end of the pay scale. “Individuals are penalized if they leave work to seek care,” Sherman said. “So they go after hours and their access to care is limited to urgent care centers or emergency departments.”

Source: Treatment Gaps Persist Between Low- And High-Income Workers, Even With Insurance | Kaiser Health News

One comment

  1. I am sure most of it has to do with people not wanting to or unable to pay the deductible but the convenient access plays a larger factor than some of us realize.

    I have pushed off a root canal 7 weeks until I could get an appointment where I did lose time at work The earliest I could get was within 4 weeks anyway. I get my lab work done at 6 am. I usually can never make an appointment when I leave a doctors office until I check with work to ensure I will not miss any time. The good part is that I take care of myself and nothing is an emergency and if it was I have sick days that I could use but I only used 3 of them in 32 years.

    When my wife worked retail she never knew her schedule more than 7 days in advance and her schedule would changed as people call out of work. It made planning a life impossible. She never knew how many hours she would work or when. She also got no sick days and at the time we didn’t not have to deal with children in school and their hours. When working at just above minimum wage I can see why people would end up in the ER because of their schedule or fear of of losing that paycheck.

    My wife lasted 7 weeks at that job over the scheduling.


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