WP
http://www.washingtonpost.com/wp-dyn/content/article/2005/12/30/AR2005123001173.htmlA Snapshot of the Uninsured Life
Sunday, January 1, 2006
What does it mean to be uninsured in the United States?
A recent study revealed that if you don't have health insurance, you might as well have a scarlet letter sewn on your shirt because you will be identified as someone who can be ignored, discarded and shamed with impunity.
A group of Georgetown medical students recently posed as either low-income, uninsured adults or as the parents of low-income uninsured children who needed a wellness exam. The students visited 311 clinics, doctors' offices and community health centers in the District.
Nearly half of these pretend patients were unable to get an appointment; those who were able to get one usually had to wait 2 1/2 weeks to see a doctor.
Providers also asked the students for a pre-visit deposit averaging $190 -- a quarter of the gross monthly income of a minimum-wage worker. Only one in 40 sites was willing to see an uninsured patient without payment at time of service, and four out of five required payment in full at the time of the visit. The students further reported that more than one in five of the personnel with whom they interacted were rude or very rude.
What does this snapshot of the uninsured life tell us?
Tom O'Toole, a faculty adviser on the project and a dean at Georgetown University School of Medicine, said, "Our current health care system is not prepared or equipped to respond to the growing segment of our community that has fallen through the cracks, making too much money for Medicaid coverage but not enough to afford health insurance on their own. We need a better approach to connecting people to affordable health care and safeguards to keep them from becoming bankrupt trying to stay healthy."