60% of US Bankruptcies May Be Caused by Medical Bills
Thursday, July 2nd, 2009Cited: CNN.com
Did you know that over 1 million Americans will declare bankruptcy this year? Unbelievably, these bankruptcies will not be because of overspending or a lavish lifestyle but because of medical bills. Medical bills have caused bankruptcies to increase 50% in just six years. In 2001, it was only 46% and that went up to 62% in 2007. In addition, those who have been filing bankruptcy are middle-class, well-educated homeowners according to a report will be published in August in an issue of The American Journal of Medicine.
“Unless you’re a Warren Buffett or Bill Gates, you’re one illness away from financial ruin in this country,” says lead author Steffie Woolhandler, M.D., of the Harvard Medical School, in Cambridge, Mass. “If an illness is long enough and expensive enough, private insurance offers very little protection against medical bankruptcy, and that’s the major finding in our study.”
Woolhandler and her colleagues surveyed a random sample of 2,314 people who filed for bankruptcy in early 2007, looked at their court records, and then interviewed more than 1,000 of them. Health.com: Expert advice on getting health insurance and affordable care for chronic pain
They concluded that 62.1% of the bankruptcies were medically related because the individuals either had more than $5,000 (or 10% of their pretax income) in medical bills, mortgaged their home to pay for medical bills, or lost significant income due to an illness. On average, medically bankrupt families had $17,943 in out-of-pocket expenses, including $26,971 for those who lacked insurance and $17,749 who had insurance at some point. Overall, three-quarters of the people with a medically related bankruptcy had health insurance, they say.
“That was actually the predominant problem in patients in our study — 78% of them had health insurance, but many of them were bankrupted anyway because there were gaps in their coverage like co-payments and deductibles and uncovered services,” says Woolhandler. “Other people had private insurance but got so sick that they lost their job and lost their insurance.”
However, Peter Cunningham, Ph.D., a senior fellow at the Center for Studying Health System Change, a nonpartisan policy research organization in Washington, D.C., isn’t completely convinced. He says it is often hard to tell in which cases medical bills add to the bleak financial picture without being directly responsible for the bankruptcies.
“I’m not sure that it is correct to say that medical problems were the direct cause of all of these bankruptcies,” he says. “In most of these cases, it’s going to be medical expenses and other things, other debt that is accumulating.” Either way, he agrees that medical bills are an increasing problem for many people.
“I think medical bills are something that a lot of families are having a lot of difficulty with. Whether it’s the direct cause of bankruptcy or whether it helps to push them over the edge because they already were in a precarious financial situation, it’s a big concern and hopefully that’s what medical reform will try to address,” he says.
The study may overestimate the number of bankruptcies caused by medical bills yet underestimate the financial burden of health care on American families, because most people struggle along but do not end up declaring bankruptcy, according to Cunningham.
“Bankruptcy is the most extreme or final step for people who are having problems paying medical bills,” he says. “Medical bills and medical costs are an issue that can very easily and in pretty short order overwhelm a lot families who are on otherwise solid financial ground, including those with private insurance.” His group’s research found that medical bills unduly stress 1 in 5 families.
The economic atmosphere became worse a year after the study was conducted. However, the problem is still getting worse for people in the United States because of the high cost of medical care. Bankruptcy numbers are soaring and are expected to get even worse than they were in 2005 when Congress changed the bankruptcy laws. In fact, in 2005 bankruptcy peaked at 2 million filings.
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My Take: I really do not believe that medical bills are the main reason people are filing for bankruptcy. I believe it has everything to do with credit cards. Credit cards make buying anything too easy! Of course, carrying plastic is a lot safer than carrying cash. Nevertheless, there is always a check!
I went bankrupt in 2000 and was because of credit cards. Yes, I do have one credit card now with a zero balance. It is only meant for emergencies. Those emergencies are not for clothes or Christmas presents. An emergency is a flat tire on a rainy night and no money in your pocket and they will not accept a check. You can easily pay this off before the end of the month with this type of small emergency. A big emergency might be a family illness in another state and you do not have the cash to get there.
I highly recommend if you have credit cards, at them all in half and pay them off before you get to a bankruptcy situation. Moreover, go by the rule of “if you don’t have the money, you don’t need it.” If you want something bad enough, stick the money aside and buy it when you have the cash. If you live by this rule financially, you will avoid a whole lot of migraines.
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