Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Abstract: A US Department of Health and Human Services (DHHS) report examines the impact of a broad range of behavioral, societal, and health care issues concerning the health of US blacks and minorities on current departmental program areas. Six topics were identified as priority areas: cancer, cardiovascular disease and stroke, chemical dependency (alcohol, illicit drugs, cigarettes) diabetes, homicide and accidents, and infant mortality. Subcommittee summary reports are intended for each of these 6 areas. Data also are presented on the social characteristics of minority populations, mortality and morbidity indicators, health services and resources, an inventory of DHHS program efforts, and a survey of non-federal organizations. Recommendations are provided for health information and education, health services, health professions development, cooperative efforts, data development, and research needs. (wz).