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High Premiums, Fewer Insured
Business Week-The share of the working-age population without any kind of health insurance, private or public, rose from 13% in 1987 to 16% in 2000 despite good economic growth over the period. Why? Big increases in the cost to workers for company-offered health insurance, according to Harvard University economist David M. Cutler. From 1988 to 1999, inflation-adjusted employee payments for family health insurance doubled, to about $1,600 in 1999 dollars. As a result, there was a fall in the "take-up rate"--the share of eligible employees who sign up. Since health-care costs are zooming up these days at a 5.5% annual rate, "continued declines in health insurance are quite possible," Cutler writes. But he resists concluding that the answer is to control medical spending more tightly. Cutler says that to stop workers from dropping employer-based insurance because premiums are too high, "the government could well decide to subsidize private insurance coverage. By Peter Coy
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