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Illness And Injury As Contributors To Bankruptcy

Health Affairs · 2005 · Vol. 24(Suppl1) · pp. W5–63
David U. HimmelsteinElizabeth WarrenDeborah ThorneSteffie Woolhandler

Abstract

In 2001, 1.458 million American families filed for bankruptcy. To investigate medical contributors to bankruptcy, we surveyed 1,771 personal bankruptcy filers in five federal courts and subsequently completed in-depth interviews with 931 of them. About half cited medical causes, which indicates that 1.9-2.2 million Americans (filers plus dependents) experienced medical bankruptcy. Among those whose illnesses led to bankruptcy, out-of-pocket costs averaged dollar 11,854 since the start of illness; 75.7 percent had insurance at the onset of illness. Medical debtors were 42 percent more likely than other debtors to experience lapses in coverage. Even middle-class insured families often fall prey to financial catastrophe when sick.

Financial Literacy, Pension, Retirement AnalysisHealthcare Policy and ManagementHomelessness and Social IssuesBankruptcyLiberian dollarMedical insuranceBusinessActuarial scienceMedicineFinance

MeSH terms

HumansSurveys and QuestionnairesUnited StatesWounds and InjuriesBankruptcyCost of Illness
Citations
537
FWCI
110.74
field-weighted impact
References
11
Percentile
100%
vs. same field & year
Citations per year
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