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University of Wisconsin–Madison
Poverty-related issues in the news, from the Institute for Research on Poverty

Health Insurance Coverage and Trauma Patients

  • Uninsured trauma patients are much more likely to die, By Karen Kaplan, November 17, 2009, Los Angeles Times: “Patients who lack health insurance are more likely to die from car accidents and other traumatic injuries than people who belong to a health plan — even though emergency rooms are required to care for all comers regardless of ability to pay, according to a study published today. An analysis of 687,091 patients who visited trauma centers nationwide from 2002 to 2006 found that the odds of dying from injuries were almost twice as high for the uninsured than for patients with private insurance, researchers reported in Archives of Surgery. Trauma physicians said they were surprised by the findings, even though a slew of studies had previously documented the ill effects of going without health coverage. Uninsured patients are less likely to be screened for certain cancers or to be admitted to specialty hospitals for procedures such as heart bypass surgery. Overall, about 18,000 deaths each year have been traced to a lack of health insurance…”
  • Study: Injured uninsured more likely to die in ER, By Carla K. Johnson (AP), November 16, 2009, Idaho Statesman: “Uninsured patients with traumatic injuries, such as car crashes, falls and gunshot wounds, were almost twice as likely to die in the hospital as similarly injured patients with health insurance, according to a troubling new study. The findings by Harvard University researchers surprised doctors and health experts who have believed emergency room care was equitable. ‘This is another drop in a sea of evidence that the uninsured fare much worse in their health in the United States,’ said senior author Dr. Atul Gawande, a Harvard surgeon and medical journalist…”