No care for the caregivers: declining health insurance coverage for health care personnel and their children, 1988-1998.

Abstract:

OBJECTIVES:This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998. METHODS:We analyzed data from the annual March supplements of the Current Population Survey (CPS), a Census Bureau survey that collects information about health insurance from a nationally representative sample of noninstitutionalized US residents. RESULTS:Of the health care personnel younger than 65 years, 1.36 million (90% confidence interval [CI] = 1.28 million, 1.45 million) were uninsured in 1998, up 83.4% from 1988; the proportion uninsured rose from 8.4% (90% CI = 7.8%, 9.1%) to 12.2% (90% CI = 11.5%, 12.9%). Declining coverage rates in the growing private-sector health care workforce---and declining health employment in the public sector, which provided health insurance benefits to more of its workers---accounted for the increases. Households with a health care worker included 1.12 million (90% CI = 1.05 million, 1.20 million) uninsured children, accounting for 10.1% (90% CI = 9.5%, 10.8%) of all uninsured children in the United States. CONCLUSIONS:Health care personnel are losing health insurance coverage more rapidly than are other workers. Increasingly, the health care sector is consigning its own workers and their children to the ranks of the uninsured.

journal_name

Am J Public Health

authors

Case BG,Himmelstein DU,Woolhandler S

doi

10.2105/ajph.92.3.404

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

404-8

issue

3

eissn

0090-0036

issn

1541-0048

journal_volume

92

pub_type

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