Post on 04-Jan-2016
Health care Problems in the IE
Lack or InsuranceLack of accessibility
Who is uninsured in the IE
• As of 2003-lastest stats• 17% of the IE’s non-elderly population does
not have health care coverage• The majority of these adults are employed but
not offer job-based insurance, earn low wages and work for small companies
Race and EthnicityUninsured Insured
58% Latinos 31% Latinos
33% White 53% White
4% Asian 4% Asian
AGEUninsured Insured
21% under 18yrs. 39% under 18
42% are between 18-34 yrs. 22% are between 18-34 yrs.
37% are between 34-64yrs. 39% are between 35-64 yrs.
GenderUninsured Insured
53% male49% male
47% female 51% female
Poverty StatusUninsured Insured
69% are under 200% EPL 38% are under 200% EPL
31% are under 100% EPL 17% are under 100% EPL
38% are between 100-200% EPL21% ate btw 100-200% EPL
Poverty Guidelines for US
2012 Poverty Guidelines for the 48 Contiguous States and the District of Columbia Persons in
family/household Poverty guideline1 $11,1702 15,1303 19,0904 23,0505 27,0106 30,9707 34,9308 38,890
For families/households with more than 8 persons,add $3,960 for each additional person.
Marital StatusUninsured Insured
41% are married 63 % are married
33% are single 19% are single
26% are other 18% are other
Education (Adult & Parents)Uninsured Insured
72% high school or less 45 % high school or less
6% college degree 14 % college degree
CitizenshipUninsured Insured
34% are non citizens 8% are non citizens
66 % are U.S. born or naturalized citizens 92 % are U.S. born or naturalized citizens
Employment Status(Adults)Uninsured Insured
62% are employed 73 % are employed
38 % are unemployed 27 % are employed
Employment Sponsored Insurance (ESI)
Uninsured Insured
83 % are of the working uninsured or eligible for ESI
14 % of the working insured are not offered or eligible for ESI
17 % reject the offer 15 % reject the offer
Self-Reported Health StatusUninsured Insured
36 % very good or excellent health 61% very good or excellent health
41 % good 26 % good
24 % fair or poor 13 % fair or poor
Have Regular Source of CareUninsured Insured
57 % 92 %
Location of usual care
Uninsured Insured
52 % clinic/hospital 25 % clinic/hospital
37 % physician office 73 % physician office
So why is there a problem
Hourly Wages 1 Adult
1 Adult, 1 Child
1 Adult, 2 Children
1 Adult, 3 Children
2 Adults
2 Adults, 1 Child
2 Adults, 2 Children
2 Adults, 3 Children
Living Wage $10.72
$21.24
$24.85
$31.42
$15.75
$19.32
$20.67
$25.43
Poverty Wage $5.21 $7.00 $8.80 $10.60 $7.00 $8.80 $10.6
0$12.40
Minimum Wage $8.00 $8.00 $8.00 $8.00 $8.00 $8.00 $8.00 $8.0
Income less then expenses San Bernardino
Monthly Expenses 1 Adult
1 Adult, 1 Child
1 Adult, 2 Children
1 Adult, 3 Children
2 Adults
2 Adults, 1 Child
2 Adults, 2 Children
2 Adults, 3 Children
Food $242 $357 $536 $749 $444 $553 $713 $904
Child Care $0 $550 $767 $983 $0 $0 $0 $0
Medical $139 $423 $440 $422 $280 $414 $387 $402
Housing $854 $1,108
$1,108
$1,559 $940 $1,10
8$1,108
$1,559
Transportation $285 $555 $639 $686 $555 $639 $686 $698
Other $91 $201 $246 $326 $149 $192 $215 $260
Required monthly income after taxes
$1,611
$3,194
$3,736
$4,725
$2,368
$2,906
$3,109
$3,823
Required annual income after taxes
$19,332
$38,328
$44,832
$56,700
$28,416
$34,872
$37,308
$45,876
Annual taxes $2,957
$5,848
$6,857
$8,654
$4,342
$5,315
$5,691
$7,009
Required annual income before taxes
$22,289
$44,176
$51,689
$65,354
$32,758
$40,187
$42,999
$52,880
Riverside
Monthly Expenses 1 Adult
1 Adult, 1 Child
1 Adult, 2 Children
1 Adult, 3 Children
2 Adults
2 Adults, 1 Child
2 Adults, 2 Children
2 Adults, 3 Children
Food $242 $357 $536 $749 $444 $553 $713 $904
Child Care $0 $550 $767 $983 $0 $0 $0 $0
Medical $139 $423 $440 $422 $280 $414 $387 $402
Housing $854 $1,108
$1,108
$1,559 $940 $1,10
8$1,108
$1,559
Transportation $285 $555 $639 $686 $555 $639 $686 $698
Other $91 $201 $246 $326 $149 $192 $215 $260
Required monthly income after taxes
$1,611
$3,194
$3,736
$4,725
$2,368
$2,906
$3,109
$3,823
Required annual income after taxes
$19,332
$38,328
$44,832
$56,700
$28,416
$34,872
$37,308
$45,876
Annual taxes $2,957
$5,848
$6,857
$8,654
$4,342
$5,315
$5,691
$7,009
Required annual income before taxes
$22,289
$44,176
$51,689
$65,354
$32,758
$40,187
$42,999
$52,885
Typical Wagesoccupational Area Typical
Hourly Wage
Management $50.67
Business and Financial Operations $32.28
Computer and Mathematical $40.66
Architecture and Engineering $40.79
Life, Physical and social Science $32.75
Community and Social Services $22.10
Legal $47.22
Education, Training and Library $25.18
Arts, Design, Entertainment, Sports and Media $24.37
Healthcare Practitioner and Technical $36.19
Healthcare Support $13.37
Protective Service $22.53
Food Preparation and Serving Related $9.28
Building and Grounds Cleaning and maintenance $11.60
Personal care and Services $10.78
Sales and Related $12.94
Office and Administrative Support $16.65
Farming, Fishing and Forestry $9.04
Construction and Extraction $23.55
Installation, Maintenance and Repair $21.63
Production $13.73
Transportation and Material Moving $13.84
National Unemployment rateaccording to data from the U.S. Bureau of Labor Statistics.
Year Jan Feb Mar Apr Ma
y Jun Jul Aug Sep Oct Nov Dec Annual
2003 5.8 5.9 5.9 6.0 6.1 6.3 6.2 6.1 6.1 6.0 5.8 5.7
2004 5.7 5.6 5.8 5.6 5.6 5.6 5.5 5.4 5.4 5.5 5.4 5.4
2005 5.3 5.4 5.2 5.2 5.1 5.0 5.0 4.9 5.0 5.0 5.0 4.9
2006 4.7 4.8 4.7 4.7 4.6 4.6 4.7 4.7 4.5 4.4 4.5 4.4
2007 4.6 4.5 4.4 4.5 4.4 4.6 4.7 4.6 4.7 4.7 4.7 5.0
2008 5.0 4.9 5.1 5.0 5.4 5.6 5.8 6.1 6.1 6.5 6.8 7.3
2009 7.8 8.3 8.7 9.0 9.4 9.5 9.5 9.6 9.8 10.
0 9.9 9.9
2010 9.8 9.8 9.9 9.9 9.6 9.4 9.5 9.5 9.5 9.5 9.8 9.3
2011 9.1 9.0 8.9 9.0 9.0 9.1 9.0 9.0 9.0 8.9 8.6 8.5
2012 8.3 8.3 8.2 8.1 8.2 8.2 8.2 8.1 7.8 7.9 7.8 7.8
2013 7.9 7.7 7.6 7.5 7.6 7.6 7.4 7.3
According t the Sun Newspaper
• California unemployment rate is 9.6 % which is higher than national at 7.3 %
Lack of Health care and poverty has led to
• San Bernardino County • Fourth most obese area in United States• Third highest heart disease rate in state• 71% of school children do not meet fitness
standards• Worst healthy food access in state, with six times
as many unhealthy food retail outlets as healthy• Two-thirds of adults not meeting recommended
physical activity levels
Will the affordable care act help
• God only knows
References
• UCLA Center for Health Policy Research ,California Health Interview Survey: http//www.healthpolicy.ucla.edu/chis/index.html
• Sun Newspaper By Kevin Smith, Staff Writer • Posted: 05/16/13, 9:00 PM PDT | • County of San Bernardino Health
Department:www.sbcounty./gov/dph/public health/programs_services/healthy
References continue
• California Healthcare Foundation:www.chcf,org/cart/presentations/employer-healthbenefits
• Living Wage Calculation for Riverside County,California:http://livingwage.mit.edu/counties/0606.5
• Living Wage Calculation for San Bernardino County,California:http://living wage.mit.edu/counties/0606.4