This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (39) Citing Articles via Google Scholar Google Scholar Articles by Kronick, R. Articles by Gilmer, T. Search for Related Content PubMed PubMed Citation Articles by Kronick, R. Articles by Gilmer, T. Related Collections Insurance - Employer-Based System

Health Affairs, Vol 18, Issue 2, 30-47
Copyright © 1999 by Project HOPE

Journal Article

Explaining the decline in health insurance coverage, 1979-1995

The decline in health insurance coverage among workers from 1979 to 1995 can be accounted for almost entirely by the fact that per capita health care spending rose much more rapidly than personal income during this time period. We simulate health insurance coverage levels for 1996-2005 under alternative assumptions concerning the rate of growth of spending. We conclude that reduction in spending growth creates measurable increases in health insurance coverage for low-income workers and that the rapid increase in health care spending over the past fifteen years has created a large pool of low-income workers for whom health insurance is unaffordable.

                      What's this?

This article has been cited by other articles:

				J. Holahan and A. Cook The U.S. Economy And Changes In Health Insurance Coverage, 2000-2006 Health Aff., March 1, 2008; 27(2): w135 - w144. [Abstract] [Full Text] [PDF]

				E. J. Emanuel The Cost-Coverage Trade-off: "It's Health Care Costs, Stupid" JAMA, February 27, 2008; 299(8): 947 - 949. [Full Text] [PDF]

				J. S. Banthin, P. Cunningham, and D. M. Bernard Financial Burden Of Health Care, 2001 2004 Health Aff., January 1, 2008; 27(1): 188 - 195. [Abstract] [Full Text] [PDF]

				P. S. Keenan, D. M. Cutler, and M. Chernew The 'Graying' Of Group Health Insurance Health Aff., November 1, 2006; 25(6): 1497 - 1506. [Abstract] [Full Text] [PDF]

				J. Hadley The effects of recent employment changes and premium increases on adults' insurance coverage. Med Care Res Rev, August 1, 2006; 63(4): 447 - 476. [Abstract] [PDF]

				H. P. Greenwald, S. O'Keefe, and M. DiCamillo Why Employed Latinos Lack Health Insurance: A Study in California Hispanic Journal of Behavioral Sciences, November 1, 2005; 27(4): 517 - 532. [Abstract] [PDF]

				J. L. Holl, K. S. Slack, and A. B. Stevens Welfare Reform and Health Insurance: Consequences for Parents Am J Public Health, February 1, 2005; 95(2): 279 - 285. [Abstract] [Full Text] [PDF]

				T. Gilmer, R. Kronick, and T. Rice Children Welcome, Adults Need Not Apply: Changes in Public Program Enrollment across States and over Time Med Care Res Rev, February 1, 2005; 62(1): 56 - 78. [Abstract] [PDF]

				P. Cunningham and J. Kirby Children's Health Coverage: A Quarter-Century Of Change Health Aff., September 1, 2004; 23(5): 27 - 38. [Abstract] [Full Text] [PDF]

				G. Reeher Reform and Remembrance: The Place of the Private Sector in the Future of Health Care Policy Journal of Health Politics Policy and Law, April 1, 2003; 28(2-3): 355 - 386. [Abstract] [PDF]

				P. J. Cunningham, J. Hadley, and J. Reschovsky The Effects of SCHIP on Children's Health Insurance Coverage: Early Evidence from the Community Tracking Study Med Care Res Rev, December 1, 2002; 59(4): 359 - 383. [Abstract] [PDF]

				B. G. S. Case, D. U. Himmelstein, and S. Woolhandler No Care for the Caregivers: Declining Health Insurance Coverage for Health Care Personnel and Their Children, 1988-1998 Am J Public Health, March 1, 2002; 92(3): 404 - 408. [Abstract] [Full Text] [PDF]

				A. C. Monheit and J. P. Vistnes Race/Ethnicity and Health Insurance Status: 1987 and 1996 Med Care Res Rev, December 1, 2000; 57(4_suppl): 11 - 35. [Abstract] [PDF]

				P. J. Deckers Health Care Reform and Undergraduate Medical Education: Implications for Surgeons Arch Surg, April 1, 2000; 135(4): 399 - 408. [Full Text] [PDF]

				C. J. Redden Rationing Care in the Community: Engaging Citizens in Health Care Decision Making Journal of Health Politics Policy and Law, January 1, 1999; 24(6): 1363 - 1389. [Abstract] [PDF]