Rising medical costs pinch more Americans, study finds

Some middle- and high-income people lack health insurance too.

washington -- Americans are struggling to pay medical bills and accumulating medical debt at an increasing rate, according to a survey released Thursday.

"A perfect storm of negative economic trends is battering working families across the United States," said the survey by the Commonwealth Fund, a private foundation that supports independent research on healthcare.

"Healthcare costs are climbing much more rapidly than incomes or the growth in the overall economy," said Sara Collins, assistant vice president of the foundation and one of the authors of the study. As gas and food prices have soared and real estate values have fallen, the federal minimum wage is now $3 an hour lower, in real terms, than it was 40 years ago, the study said.

"What is notable is how these problems are spreading up the income scale," Collins said.

The survey showed that the healthcare gap between poor and moderate-income families is narrowing, and that even middle- and high-income groups are going without medical insurance at some time during the year.

More than two in five adults in the 19-to-64 age group reported problems paying medical bills or had accumulated medical debt in 2007, up from one in three in 2005. Their difficulties included being unable to afford medical attention when needed, running up medical debts, dealing with collection agencies about unpaid bills, or having to change their lifestyle to repay medical debts.

Healthcare costs are limiting expenditure on daily necessities. Of those facing mounting medical bills, 39% used all their savings, 30% incurred large credit card debt, and 29% said medical bills left them unable to pay for basic necessities such as food, heat or rent.

Those without adequate insurance increased to 14% of the population in 2007 from 9% in 2003.

Foundation president Karen Davis said it has been doing annual surveys of health-care experience in other countries since 1998, including Australia, Canada, the Netherlands, Germany, New Zealand and Britain.

"The U.S. stands out for being the only country . . . that reports significant fractions of the population not getting needed care," Davis said.


 
 
National