Lack of Health Insurance
The Evidence
Action Points
Electronic Library

Burden of Suffering

  • Uninsured patients who are hospitalized for their conditions are less likely to receive services and more likely to die in the hospital than are insured patients. Uninsured babies have a 1.5 times greater chance of both neonatal and post-neonatal death.

  • Uninsured cancer patients are 50% more likely to die prematurely than persons with insurance, largely because of delayed diagnosis.

  • Continuously and/or intermittently uninsured individuals were nearly 2 times more likely to suffer major health declines over a 4-year period, compared to those continuously insured.

  1. Source: Sada MJ, French WJ, Carlisle DM, Chandra NC, Gore JM, Rogers WJ. Influence of payer on use of invasive cardiac procedures and patient outcome after myocardial infarction in the United States. Journal of the American college of Cardiology. 1998;31(7):1474-80.
  2. Source: Dubay L, Joyce T, Kaestner R, Kenney GM. Changes in prenatal care timing and low birth weight by race and socioeconomic status: implications for the Medicaid expansions for pregnant women. Health Services Research. 2001; June;36(2):373-98.
  3. Source: Baker DW, Sudano JJ, Albert JM, Borawski EA, Dor A. Lack of health insurance and decline in overall health in late middle age. The New England Journal of Medicine. 2001; 11;345(15):1106-12.