Texas Still Leads Nation in Rate of Uninsured Residents

Thur, August 28, 2008

Texas once again led the nation with the highest percentage of residents without health insurance, a U.S. Census Bureau report showed Tuesday, although the same study also reports a slight dip last year in the percentage without coverage across the nation.

Almost one of every four Texas residents – 24.8 percent – were uninsured in 2006 and 2007, based on an average of the rates for those two years. That's up from 23.9 percent for 2004 and 2005.

The national number also increased a bit for the two-year period to 15.5 percent. However, looking at 2007 by itself, the percentage of uninsured in the country fell from 15.8 percent in 2006 to 15.3 percent in 2007. (State percentages were given only for two-year periods.)

California still has the highest number – not percentage – of uninsured residents at 6.7 million, compared with 5.7 million Texans. The Texas number is up from 5.5 million in 2006.

McCain adviser But the numbers are misleading, said John Goodman, president of the National Center for Policy Analysis, a right-leaning Dallas-based think tank. Mr. Goodman, who helped craft Sen. John McCain's health care policy, said anyone with access to an emergency room effectively has insurance, albeit the government acts as the payer of last resort. (Hospital emergency rooms by law cannot turn away a patient in need of immediate care.)

"So I have a solution. And it will cost not one thin dime," Mr. Goodman said. "The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American – even illegal aliens – as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care.

"So, there you have it. Voila! Problem solved."

Mr. Goodman's analysis drew a sharp response from the Center for Public Policy Priorities, an Austin-based think tank focusing on poverty issues. "That is not the same thing as having health insurance," said Eva Deluna, a budget analyst for the center. People without insurance are less likely to seek care, and when they do, the cost to the health system is greater, she said.

Fight on statistics According to Mr. Goodman, only people who are denied care are truly uninsured – everyone who gets care is effectively insured by some mechanism. "So instead of producing worthless statistics that people fling around in vacuous editorials and pointless debates, the Census Bureau should produce meaningful numbers, identifying all of the sources of funds people will draw on if they need medical care," he said.

Ms. Deluna argued that the situation actually is worse now than the Census Bureau reported. The just-released data does not reflect the recent economic downturn, she said.

It makes no sense, she continued, for Texas to have the nation's highest percentage of uninsured residents, while having one of the nation's strongest economies for job growth.

Source : http://www.dallasnews.com/