Seeking or not medical help for not knowing how much you will end up paying is a problem faced by millions of Americans, and it takes on another dimension when it comes to people who must undergo expensive treatments for serious diseases.
Having or not having health insurance, many decide to postpone it and 1 in 4 do so, according to a recent Gallup poll. It is also observed that the percentage of those who do so is higher in households with an income of less than $ 40,000 per year: 36% compared to 25% in the general population.
«Rationing» access to health often worsens their prognoses and many even lose their lives for not being able to receive timely treatment. This is what happened to Anamaria Markle, from New Jersey, who was diagnosed with stage three ovarian cancer in 2017, and is one of the shocking cases that a report by the British newspaper The Guardian collects on the subject.
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After losing his job and consequently health insurance, he decided to stop chemotherapy treatment due to his medical debts. He died at the age of 52. «My mother was constantly calculating the cost of treatments while she was in decline (…) She did not have to make that decision based on financial costs,» said her daughter, Laura Valderrama.
There are many stories like that. But what is most worrisome is that judging by the Gallup poll, there was a significant rebound in the last year: the percentage of people who say that a relative stopped medical treatment for a severe illness due to cost in the previous year went up from 19% to 25%, a figure never seen before.
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When that question was first included in the survey, in 1991, the figure was at 11%, and although by 2006 it had climbed to 19%, 25% in 2017 marks a record.
In fact, since 2001 Gallup has found an average 50% increase among Americans who say they or a family member were unable to receive medical care due to costs. This, in the developed country with the highest health expenditures in the world and the most prosperous on the planet, has been facing a sustained decline in life expectancy.
The uninsured rate is the highest in the last four years, but medical debt doesn’t just affect this group. Even those who have health policies refrain from going to the doctor or hospitals for monetary reasons indicate the Gallup report. Sometimes the deductibles are too high and in other cases, it is unpredictable how much they will end up paying even for simple procedures.
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Why are the prices of health care in the United States so high? That is the big question and there is no single, simple answer. The lack of price regulation is one possible explanation.
Another Gallup poll indicates that 1 in 4 Americans skip medicine because of cost, and 45% of adults are concerned that a serious health problem could bankrupt them.
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