Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Getting health insurance is not about your ideology

Manoj Jain, MD, MPH
Policy
October 22, 2013
Share
Tweet
Share

Standing in the dimly-lit cave-like radiology reading room, I was looking at a CT scan which was done in the emergency room on a man in his 40s who had a testicular mass — likely a cancer — which had spread through out his body. It wasn’t that the man did not know the mass was present — earlier CT scans from the emergency room clearly showed the mass in the early stages of cancer years earlier. He did not get the necessary care because he did not have health insurance.

Health insurance saves lives. One study in Health Affairs estimated that if all Americans had health insurance, there would be 101,000 fewer deaths each year. Based on population estimates, that would be 300 lives saved in a city of one million each year.

The Affordable Care Act, also known as Obamacare, mandates all Americans to get health insurance. While this provision has no direct impact on those of us who are on Medicare, Medicaid or private insurance, it is a game changer for over millions of uninsured Americans who will have to make a decision: to buy or not to buy health insurance.

My answer is simple. Buy. And here is why.

First, no one can deny you insurance. In the hospital, I saw a diabetic woman who had a foul infection in the pelvis, something which could have been managed at an earlier stage with simple antibiotics and fungal medicine, yet her response to my questions of why she did not have insurance was “I could not get insurance due to my diabetes.” No longer are preexisting illnesses a reason for insurance company to deny you coverage.

Second, illnesses do not look at political preference. It does not matter if you are a Democrat or a Republican, you favor Obamacare or don’t favor Obamacare, getting health insurance is not about your ideology, rather it is about your health.

Third, illnesses and traumas such as a car accident, a cancer, or a skin infection do not do a wallet biopsy to see if you have enough money or an insurance card prior to striking. A young man with a staph infection in an elbow wound at a site of a previous fracture has no insurance. With charity care and a prolonged payment plan — much like a college tuition repayment loan — he is improving.

Fourth, when the uninsured get insured — everyone who have private insurance benefits. Let me explain. There is a common misunderstanding that lack of insurance will lower health care cost and save everyone money. That is not true. By one estimate, those who have insurance pay eight percent or some $1,100 of their premium each year towards the care for those who do not purchase insurance.

Fifth, getting health insurance can help you avoid declaring bankruptcy. One healthy self-employed friend in his 50s with a car and a house decided to stick it out without health insurance, until he began to develop chest pain and needed heart surgery. Each year two million people declare bankruptcy due to medical bills — it is the number one reason for bankruptcies, more than credit card bills and unpaid mortgages.

Sixth, the money spent on health insurance is well spent. A 40-year-old person with an income of $29,000 would have to pay $125 dollars per month for a bronze coverage health insurance or $195 a month for silver coverage with subsidies. This is as much as a pack of cigarettes or two Starbucks tall coffees each day.

Seventh, health insurance even if never used buys you one thing which is priceless: peace of mind. We will not be young and invincible forever, but we don’t want to be old and in poor health.

I don’t know any doctors who would not encourage their patients to get health insurance. I wish the cancer patient, the diabetic patient and the heart disease patient had. If you trust your doctor with your life, you should trust his or her advice. Get insurance and encourage your family, friends, neighbors and acquaintances to get health insurance.

Manoj Jain is an infectious disease physician and contributor to the Washington Post and The Commercial Appeal.  He can be reached at his self-titled site, Dr. Manoj Jain.

ADVERTISEMENT

Prev

Admit when you fall short: The power of "I don't know"

October 22, 2013 Kevin 3
…
Next

Emergency departments will remain a safety net for decades to come

October 23, 2013 Kevin 6
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
Admit when you fall short: The power of "I don't know"
Next Post >
Emergency departments will remain a safety net for decades to come

ADVERTISEMENT

More by Manoj Jain, MD, MPH

  • 3 steps to a better health care system

    Manoj Jain, MD, MPH
  • How this physician transitions to becoming an empty nester

    Manoj Jain, MD, MPH
  • Health care in American is on life support, and the future is uncharted

    Manoj Jain, MD, MPH

More in Policy

  • Unused IV catheters cost U.S. hospitals billions

    Piyush Pillarisetti
  • Why your health care dashboard isn’t working and how to fix it

    Dave Cummings, RN
  • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

    Robert E. White, Jr. & The Doctors Company
  • How new loan caps could destroy diversity in medical education

    Caleb Andrus-Gazyeva
  • Why transplant equity requires more than access

    Zamra Amjid, DHSc, MHA
  • Ideology, not evidence, fuels the anti-trans agenda

    Andie Riffer, PhD and Shawn E. Parra, LCSW, MSW
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 11 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy
    • Why U.S. universities should adopt a standard pre-med major [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Getting health insurance is not about your ideology
11 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...