From Nurses' Campaign To Win Medicare For All <[email protected]>
Subject 1 in 4 U.S. adults skips the health care they need
Date December 12, 2024 1:03 AM
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[1]NNU - Medicare for All!



As we finalize our plans for the new year, we’re continuing our email
series to refresh you on what Medicare for All is and how it would work by
reviewing [ [link removed] ]the six core MFA principles, which you can read and share
with others here.

Today’s email is focused on the fully comprehensive benefits that Medicare
for All would provide: coverage that includes medical, dental, hearing,
vision, mental health, prescription drugs, long-term care, and more. All
decisions about care would be made between you and your doctors and
nurses, not insurance companies.

Right now in our profit-driven health care system, covered benefits vary
drastically depending on factors like your insurance provider and specific
plan. Naturally, low-cost plans tend to cover less, while more expensive
plans cover more. Though 92% of people in the U.S. have some form of
health insurance, we know that’s not the same thing as having guaranteed
care — and far too many people have low-quality plans that cover too
little, resulting in financial barriers to care.

Benefits in today’s system are also made more complicated by the fact that
dental, vision, and hearing often require additional insurance plans
separate from health insurance, despite being important parts of a
person’s body and health. Because of this, people may have medical
coverage but no dental or vision insurance, which means they must pay out
of pocket to cover things like dentist visits, corrective eyewear, and
more. It’s no coincidence that dental and vision services top the list of
health services most likely to be skipped by U.S. adults.^1

[ [link removed] ]KFF Figure 4: Dental Services Top List of Health Services Adults Most
Likely to Delay Due To Cost

Too often, certain services are completely ineligible for coverage, or
insurance companies will only pay a certain percentage of the cost. This
can also drastically vary based on whether the provider is in or
out-of-network, making getting care more complicated.

As a result, KFF found that 1 out of 4 adults in the U.S. skipped or
postponed getting the health care they needed because of the cost.^2 This
number is even larger for women, low-income individuals, and people
between the ages of 18 to 49. While it’s more common (61%) for uninsured
people to skip or postpone care, KFF still found that a significant 21% of
insured people put off the care they needed as well.

[ [link removed] ]KFF Figure 3: Six In Ten Uninsured Adults Say They Have Skipped Or
Postponed Getting Health Care They Needed In The Past 12 Months Due to
Cost

In our current system, a lack of comprehensive benefits also means that
people too often go without preventative care. A 2018 report found that as
of 2015, only a shocking 8% of U.S. adults aged 35 and older received all
of the preventative care recommended for them.^3 To save money, many
people delay or skip their regular or preventative care that could prevent
future health issues, only to end up at the emergency room later. In
effect, the number of emergency room visits is on the rise as the number
of emergency departments decreases across the country.^4

Even under current traditional Medicare coverage, benefits like vision,
dental, hearing, long-term care, and more are not covered, leaving seniors
who need this coverage most to bear the cost themselves. Medicare for All
would not just expand Medicare eligibility to every U.S. resident, but
also improve the benefits to be truly comprehensive.

Under Medicare for All, there would be no worrying about what is or isn’t
covered, no more arguing with insurance companies, and no more rationing,
delaying, or skipping of care — this single-payer system would completely
pay for ALL care, with no cost to patients at the point of service. It’s
that simple!

Together, let’s keep up the fight to pass Medicare for All and finally
guarantee comprehensive health care to everyone in our country.

In solidarity,

Nurses’ Campaign to Win Medicare for All

 

1 - [ [link removed] ]Americans’ Challenges with Health Care Costs
2 - Ibid
3 - [ [link removed] ]Few Americans Receive All High-Priority, Appropriate Clinical
Preventive Services
4 - [ [link removed] ]Reasons Patients Choose the Emergency Department over Primary Care:
a Qualitative Metasynthesis



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