Meanwhile, Back in the Real World
The Census Bureau updates its estimate of the number of Americans people in the United States* who lack health insurance. As of the end of 2008:
Overview
* The number of people with health insurance increased from 253.4 million in 2007 to 255.1 million in 2008.
* The number of people without health insurance coverage rose from 45.7 million in 2007 to 46.3 million in 2008.
* Between 2007 and 2008, the number of people covered by private health insurance decreased from 202.0 million to 201.0 million, while the number covered by government health insurance climbed from 83.0 million to 87.4 million. The number covered by employment-based health insurance declined from 177.4 million to 176.3 million.
* The number of uninsured children declined from 8.1 million (11.0 percent) in 2007 to 7.3 million (9.9 percent) in 2008. Both the uninsured rate and number of uninsured children are the lowest since 1987, the first year that comparable health insurance data were collected.
* Although the uninsured rate for children in poverty declined from 17.6 percent in 2007 to 15.7 percent in 2008, children in poverty were more likely to be uninsured than all children.Race and Hispanic Origin (Race data refer to those reporting a single race only. Hispanics can be of any race.)
* The uninsured rate and number of uninsured for non-Hispanic whites increased in 2008 to 10.8 percent and 21.3 million, from 10.4 percent and 20.5 million in 2007. The uninsured rate and number of uninsured for blacks in 2008, meanwhile, were not statistically different from 2007, at 19.1 percent and 7.3 million. The uninsured rate for Asians in 2008 rose to 17.6 percent, up from 16.8 percent.
* The percentage of uninsured Hispanics decreased to 30.7 percent in 2008, from 32.1 percent in 2007. The number of uninsured Hispanics was not statistically different in 2008, at 14.6 million.
* Based on a three-year average (2006-2008), 31.7 percent of people who reported American Indian and Alaska Native as their race were without coverage. The three-year average uninsured rate for Native Hawaiians and Other Pacific Islanders was 18.5 percent.Nativity
* The uninsured rates for the native-born and foreign-born populations were statistically unchanged at 12.9 percent and 33.5 percent, respectively, in 2008. Among the foreign-born population, the uninsured rates for both naturalized citizens (18.0 percent) and noncitizens (44.7 percent) were statistically unchanged.
Regions
* At 11.6 percent, the Northeast and the Midwest had lower uninsured rates in 2008 than the West (17.4 percent) and the South (18.2 percent). The 2008 rates for the Northeast, Midwest and South were not statistically different from their respective 2007 rates. The uninsured rate for the West increased to 17.4 percent in 2008, up from 16.9 percent in 2007.
*Includes citizens and non-citizens. Thank you, commenter spob, for pointing out that I needed to be more precise in my description.
UPDATE: Commenter ymmartin calls our attention to Justin's great post on the other side of the that report, including what he notes is a "lost decade" for median household income.
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1
LIES!
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2
You know what would be a nice stat to add to that? show the growth of insurance company's profits as a graph over the same period.
Yes, I am obsessed with insurance company profits. Why do you ask?
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2.1
Apparently, they are down:
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http://www.ama-assn.org/amednews/2009/08/24/bisb0824.htm -
2.2
four and Karen, you can study individual companies thru stock research (I do all the time for stock picks). Wikinvest site (.com) has chart for income statements that show some of four's requests:
some HC co. tickers – WLP, UNH, AET, CI, HS
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Data Central table at right side of page: chart is there but click on “more at data central” to get full #'s at “key metrics” page, “income statement” section. The chart to click is “revenue, gross profit, and gross margin” (click “full” to get long timeline). Gross profits matter to me since I want to see the raw $ coming in, knowing #'s can be manipulated, wasted, etc. to alter NET profits. -
2.3
…oops, forgot to include an example…
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http://www.wikinvest.com/stock/WellPoint_Health_Networks_(WLP)/Data?ref=ataglance#keyMetrics
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(note how revenue / gross profits shot up past few years, but I digress)
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3
KT, if the number includes "non-citizens", how can you call them "Americans"? Seems Obama dropped that yesterday in his speech.
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3.1
Good point. I will correct.
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3.2
It actually depends on your definition of "citizen" and "non-citizen". Do you go by someone holding a physical passport book against his/her name? Then, what if that person gets confused between US constitution and the constitution of some "other" country? When that happens, is that physical passport book that he/she holds still valid to get him health care? In other words, is he then considered a "citizen" or a "non-citizen" ?
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4
Hey KT, you may want to point out Justin's great post on this data that came out today since it looks at it from the perspective of income
http://curiouscapitalist.blogs.time.com/2009/09/10/the-lost-decade/
I can't deny, this was my favorite bit of insights:
"(1) I don't know how much of this was bad luck and how much was bad policy (nobody does), but there's really no getting around the fact that the Bush presidency was an economic debacle. Americans got poorer on his watch. The last time that happened was, well, during his father's presidency. But that one only lasted four years, so it was different."
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4.1
I think some of us older folk are used to getting poorer on Republican Presidential watches in general. Republicans are the party of fiscal responsibility how exactly?
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4.2
exactly queencersei, but for them trickle down economics will save the day. Unfortunately for most of us, we're still waiting for that trickle to reach us.
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4.3
Done!
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4.4
For all you economic geniuses, the household income for Bush on average was higher than most of Clinton's 2 terms. And Bush had to battle 2 recessions and 9/11. What is not trickling down is a clue for the libs.
http://www.census.gov/prod/2009pubs/p60-236.pdfAlso the number of uninsured in the Census report was 47 million and just last night Obama said it was 30 million. And since it includes illegal immigrants both numbers are a lie.
Now Obama was use the lower number to fudge the budget numbers to give it a shot at being deficit neutral. Th enext big lie.
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5
Perhaps someone should have pointed out to the movers and shakers that when creating a job to "help" the American economy, it is also helpful to have that job be located in well...America.
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6
Of course, KT, Obama has been making this "mistake" all the time. I cannot think that he missed the distinction. Not sure how much complaining he has a right to be doing about other people's honesty when he himself has been yapping about an inflated number.
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7
Regarding "* Between 2007 and 2008, the number of people covered by private health insurance decreased from 202.0 million to 201.0 million, while the number covered by government health insurance climbed from 83.0 million to 87.4 million. The number covered by employment-based health insurance declined from 177.4 million to 176.3 million."
Any chance that there is a correlation here between the increase in government coverage with the drop in private or employment-based coverage because of the aging of our population and more seniors signing on to Medicare? Most people would assume that is a reflection of the state of the economy - more companies dropping coverage for employees. But since we know that Boomers are retiring in greater numbers and their primary choice is to sign on to Medicare, well then isn't this trend going to continue for some time?
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7.1
true, but private companies are dropping coverage and the medicaid rolls are also growing.
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7.2
Karen:
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For the benefit of everyone else, please make sure that you address Medicaid's spenddown. A person may appear to be on the Medicaid rolls, but if that person's spenddown is $5,000, actual benefits are simply out of reach.
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They are effectively uninsured.
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8
Thank goodness Americans will be protected from the horrors of lacking insurance by forced enrollment upon penalty of fine.
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8.1
That's probably unconstitutional.
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8.2
...I also hope it's unconstitutional. Thanks, square, for bringing that up. Maybe we need a better way to sign everyone up. Perhaps, similar to Social Security, once you're logged in with SS and on the grid, you're kicking in SS tax with income. Same for the exchange; once on the grid, you're already in and either join the PO or list your insurance choice. Not best option (I'm no fan of the exchange), but the penalty / fine idea is NOT so fine; it sucks. Thoughts, KT?
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8.3
These two lawyer dudes seems to think it is constitutional:
http://volokh.com/archives/archive_2009_08_16-2009_08_22.shtml#1250981450
http://www.thefacultylounge.org/2009/08/the-constitutional-validity-of-obamacare.html
That said, a mandate without a legit public option and/or adequate subsidies is probably a very bad idea. One of my wife's friends has a household income of about $35-40K/year. It's her, her "husband" (they are not married but have been together for well over 10 years), and their young daughter. With that income, the wouldn't qualify for Medicaid under any of the propose plans. Under HR 3200, they'd be responsible for paying up to about $240 month for family coverage. Under the Baucus plan, they'd be on the hook for about $375/month. Anything above that would be covered by government subsidies. They are currently uninsured so one could argue that they are part of the reason our HC costs are so high and that the insured are paying their medical bills through increased premiums. You could also argue that $200-$400/month is a pretty good bargain for a decent health insurance plan, along with the peace of mind that comes with it. But guess what? They don't have $375/month. They don't have $240/month. In the face of a fine/extra tax that could amount to about that much money without the added benefit of having medical coverage they could probably find a way to get that money...but it would be a big struggle.
You can't really do legitimate HC reform and/or achieve universal to near universal coverage without a mandate. If you did single-payer (my wife's friend's preference...and she pretty much despises Obama), it wouldn't matter, although people - everybody except the poor - would probably pay a portion of that via increased taxes. (taxes that would probably lower than the monthly amounts I listed above) But we're not doing single payer. You could increase the subsidies. But conservatives are already yelling that giving subsidies to people who are at 200-400% poverty is like giving welfare to people who don't need it. (ignoring that fact that like my wife's friend, most of these people can't afford health insurance, even if they are at 300% of poverty) You could have a much cheaper public option (or public option rates) open only to those who are at 400% of below. But are we going to get a public option? And if yes, will it be available to people like my wife's friend?
Part of me says, "Go find the money...I've been paying HC premiums for most of my adult life and those premiums are paying for your healthcare...time for you to be responsible. And it's not that much money - I pay more than you would have to pay in monthly premiums and I get my insurance through my employer." But then I realize that to a family making $40K/year, it is a lot of money, perhaps too much money.
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9
I look forward to the lawsuit that square, spob an deconstuctiva will file that claims that states requiring auto insurance in unconstitutional.
I also look forward to the lawsuits regarding Federal income taxes, Federal highways, and the Federal Reserve. The Federal Government is only responsible for raising a national army, right?
In truth, I would actually welcome dissolving the union so that the southern states can go their own way. In fact, let's just redraw the whole map. We'll create city-states like Seattle, New York, and Atlanta that are aligned into an economic confederation. The rest of the country can form Jesus-land and you can force your women to wear burkas if you wish.
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9.1
The requirement of auto insurance is a wee bit different. First of all, it's a state law. Second of all, it protects third parties from having to bear the brunt of someone's negligence. Big difference between that and requiring people to have insurance for their own health.
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Your other points are trollish.
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10
You should not have crossed out Americans for people. Anyone who lives in America is an American, with documentations or otherwise.
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11
come on dorkboy, get with the program--your Dear Leader just dropped those "Americans" from his spiel.
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12
And guys, Obama has dropped the aliens from his 47 million spiel. Clearly, he had to know better beforehand. Yet he parroted the number. Was that dishonest, KT?
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12.1
at the briefing that i went to with a senior white house official yesterday, they took pains to use a lower number. i think they were sloppy with the larger number at the outset, but not because they wanted to cover illegal immigrants. from the very beginning, everyone i have talked to, both there and on the hill, has made it clear that there are not anywhere near the votes to do that. in fact, it was pelosi's office that first mentioned that as an issue to me, and i think that was all the way last spring.
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12.2
i say this, btw, as someone who was sloppy with a number quite recently and who corrected on it by a commenter.
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12.3
i say this, btw, as someone who was sloppy with a number quite recently and who was corrected on it by a commenter.
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12.4
Fair enough. I tend to think that they knew better. Clearly, there was political mileage to be gained on making the problem bigger. Funny how sloppiness tends to be favorable to the sloppy. LOL.
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12.5
That's right spob, quite sloppy, trying to take all our money and spend it on the wrong people, wasteful, just wasteful.
But you know, amazing how a whole administration can cite the discovery of yellowcake and other obvious threatening behavior to get us to go to war, and as you say...
"Fair enough. I tend to think that they knew better. Clearly, there was political mileage to be gained on making the problem bigger. Funny how sloppiness tends to be favorable to the sloppy. LOL."
But I guess sloppy is a relative term for you, because dammit, to hell with the uninsured.
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12.6
Karen, et all:
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See comment #17. You are debating the accuracy of numbers, whether they include immegrants or not, that reflect conditions before the recession!
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Thay are, at minimum, several million too low!.
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13
Yes, Spob, there are 46 million illegal immigrants in this country. Deport them all, and you would solve the HC crisis. That's brilliant.
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14
Karen, you are a wuss for changing what spob advocated. He clearly has an agenda. What do you call non-citizens who live in America? Nonmerican? Unmerican? Go with your initial instinct instead of falling into the pressure of slob.
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14.1
And you don't have an agenda?
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15
Let's remember that "non-citizens" includes permanent residents. You know, people who are here legally, work, pay taxes, etc.
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16
Conservatives have said all along that the 47 Million included Illegals. Obama knew this yet continued the LIE by calling them 47 Million Americans until this week.
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16.1
More faux outrage?
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17
Karen:
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I'm having problems with using number that are older than the current recession.
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In the real world, Karen, these numbers should be adjusted for the current best estimate.
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So add to the mix of statistics you've posted some 6,000,000 Americans that have lost their jobs - and - their insurance!
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