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The ED and the UninsuredThe ED and the Uninsured

JAMA. 2005;293(1):39-40. doi:10.1001/jama.293.1.39-b
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AUTHOR INFORMATION

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

THE ED AND THE UNINSURED

To the Editor: In the Health Agencies Update,1 Dr Hampton cites a report by the National Association of Community Health Centers2 and states that “[p]atients without health insurance are flooding US emergency departments.” We believe that this is an inaccurate description of that report, which focuses on the achievements and threats to community health centers.

The uninsured make up a minority of emergency department (ED) patients.3 An estimated 83% of emergency visits are by patients who have a usual source of health care other than an ED. Eighty-five percent of patients visiting an ED have medical insurance, and 85% have incomes exceeding the poverty threshold. Persons without insurance were no more likely to have had an emergency visit than those with private insurance, and individuals without a usual source of care were 25% less likely to have had an emergency visit than those with a private physician.

According to the National Center for Health Statistics, 15% of ED visitors are self-pay.4 While this amount of uncompensated care poses a significant financial strain for EDs, the majority of patients are not uninsured. In fact, a recent analysis by the Center for Studying Health System Change concluded that the increase in ED visits between 1996 and 2001 was primarily attributable to an increase in visits by the insured.5 The reality is that EDs serve as a “safety net” not just for the poor and uninsured, but for middle class Americans, particularly those with serious and chronic illness.

References
Hampton T. Health Agencies Update: the ED and the uninsured.  JAMA. 2004;2921419
National Association of Community Health Centers.  A Nation’s Health at Risk II: A Front Row Seat in a Changing Health Care System. Available at: http://www.nachc.com/press/pdf/NationsHealthIISTIB7.pdf. Accessed October 5, 2004
Weber EJ, Showstack JA, Hunt KA.  et al.  Does lack of a usual source of care or health insurance increase the likelihood of an emergency department visit? results of a national population-based study.  Ann Emerg Med.October 20, 2004. Available at: http://www2.us.elsevierhealth.com/scripts/om.dll/serve?action=searchDB&searchDBfor=art&artType=fullfree&id=as0196064404011680. Accessibility verified November 24, 2004
McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary.  Adv Data. 2004;3401-34
PubMed
Cunningham PJ, May J. Insured Americans Drive Surge in Emergency Department Visits. Washington, DC: Center for Studying Health System Change; 2003. Issue Brief No. 70

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Hampton T. Health Agencies Update: the ED and the uninsured.  JAMA. 2004;2921419
National Association of Community Health Centers.  A Nation’s Health at Risk II: A Front Row Seat in a Changing Health Care System. Available at: http://www.nachc.com/press/pdf/NationsHealthIISTIB7.pdf. Accessed October 5, 2004
Weber EJ, Showstack JA, Hunt KA.  et al.  Does lack of a usual source of care or health insurance increase the likelihood of an emergency department visit? results of a national population-based study.  Ann Emerg Med.October 20, 2004. Available at: http://www2.us.elsevierhealth.com/scripts/om.dll/serve?action=searchDB&searchDBfor=art&artType=fullfree&id=as0196064404011680. Accessibility verified November 24, 2004
McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary.  Adv Data. 2004;3401-34
PubMed
Cunningham PJ, May J. Insured Americans Drive Surge in Emergency Department Visits. Washington, DC: Center for Studying Health System Change; 2003. Issue Brief No. 70
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