Saturday, April 11, 2009

How health care costs contribute to income disparity in US - The McKinsey Quarterly - health care costs income disparity US - Economic Studies - Country Reports

How health care costs contribute to income disparity in US - The McKinsey Quarterly - health care costs income disparity US - Economic Studies - Country Reports

The top-income category (earning on average $210,100 annually1) has enjoyed rising incomes and growing employer-paid health care benefits, which have made their out-of-pocket spending on health care a relatively small and affordable portion of total spending. The higher-middle-income category (earning an average of $84,800 annually) and the lower-middle-income group (earning on average $41,500), have also seen increasing benefits and incomes—but at a much slower rate, making the uncovered portion of their health care costs ever-more expensive. In the bottom-income category (earning an average of $14,800 a year), incomes have been stagnant, and their employers are less likely to pay for their health insurance. This group is finding any health care difficult, if not impossible, to afford.

As part of a study of widening income gaps between US households, we found that rising employer-paid health insurance premiums constitute a growing share of the
combined income of lower-paid employees—a much larger share than for those who
are higher paid. For those workers within the bottom-income group who are insured (22 percent), the ratio of employer-paid premiums to household income is 20 percent. That compares with 3.3 percent for the top-income group, in which nine out of ten workers are insured.




This is in line with New America's estimate of 17% of household compensation now going to health care, which, really, is a prohibitive amount for lower and middle income families.

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