Avoided Care Due to Cost
U.S. Value: 9.8%
Healthiest State: Hawaii: 6.0%
Least-healthy State: Texas: 15.2%
Definition: Percentage of adults who reported a time in the past 12 months when they needed to see a doctor but could not because of cost
Data Source & Year(s): CDC, Behavioral Risk Factor Surveillance System, 2020
Suggested Citation: America's Health Rankings analysis of CDC, Behavioral Risk Factor Surveillance System, United Health Foundation, AmericasHealthRankings.org, accessed 2022.
WHY DOES THIS MATTER?
The United States spends more on health care than any other country in the Organisation for Economic Co-operation and Development (OECD), yet provides fewer resources and ranks 29th for life expectancy at birth of the 38 member nations. The high cost of health care in the U.S. is a major barrier to accessing health care, along with inadequate or no insurance coverage and lack of culturally competent care.
Lack of access to health care has long been associated with increased preventable hospitalizations and missed opportunities to prevent disease and manage chronic conditions, all of which can lead to worse and more expensive health outcomes. Meanwhile, the cost of U.S. health care is projected to continue trending upward for the next 30 years. Currently, the average American spends more than $11,000 a year on health care.
WHO IS AFFECTED?
Adults who are uninsured are more likely to have problems paying medical bills compared with adults who had health insurance. Even among insured adults, those enrolled in high-deductible health plans are nearly twice as likely to delay or entirely forgo care due to cost compared with adults enrolled in traditional health plans.
Populations of adults who have a higher prevalence of avoiding care due to cost include:
- Adults ages 25 and older with an annual household income less than $25,000, who have a prevalence four times higher than adults with an annual household income of $75,000 and above. As income level increases, avoiding care due to cost significantly decreases.
- Adults ages 18-44, who have a prevalence three times higher than adults ages 65 and older. As age increases, avoiding care due to cost significantly decreases.
- Adults ages 25 and older with less than a high school education, who have a prevalence of avoiding care due to cost nearly three times higher than college graduates.
- Hispanic, American Indian/Alaska Native, Black, multiracial and Hawaiian/Pacific Islander adults as well as those who identify as other race compared with Asian and white adults.
- Females compared with males.
Reducing the proportion of adults who are unable to obtain or delay in obtaining necessary medical care is a Healthy People 2030 objective.
https://www.americashealthrankings.org/explore/annual/measure/costburden/state/IN. Last accessed June 2022