Will insured citizens give up benefit coverage to include the uninsured?

Journal of General Internal Medicine
Susan Dorr GooldMarion Danis

Abstract

To describe the willingness of insured citizens to trade off their own health benefits to cover the uninsured. Descriptive study of individual and group decisions and decision making using quantitative and qualitative methods. Twenty-nine groups of citizens (N = 282) residing throughout Minnesota. Groups participated in Choosing Healthplans All Together (CHAT), a simulation exercise in which participants choose whether and how extensively to cover health services in a hypothetical health plan constrained by limited resources. We describe individual and group decisions, and group dialogue concerning whether to allocate 2% of their premium to cover uninsured children in Minnesota, or 4% of their premium to cover uninsured children and adults. While discussing coverage for the uninsured, groups presented arguments about personal responsibility, community benefit, caring for the vulnerable, social impact, and perceptions of personal risk. All groups chose to insure children; 22 of 29 groups also insured adults. More individuals chose to cover the uninsured at the end of the exercise, after group deliberation, than before (66% vs 54%; P < .001). Individual selections differed from group selections more often for the uninsured catego...Continue Reading

References

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Feb 14, 2002·Journal of General Internal Medicine·Marion DanisSusan Dorr Goold
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Feb 24, 2004·The Gerontologist·Marion DanisSusan Dorr Goold

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Citations

Apr 1, 2011·Administration and Policy in Mental Health·Sara E Evans-LackoSusan Goold
Dec 12, 2012·The American Journal of Bioethics : AJOB·Jennifer Prah Ruger
Nov 12, 2005·Current Opinion in Pediatrics·Yvonne W Fry-JohnsonGeorge Rust
Jul 10, 2004·Journal of General Internal Medicine·Laura L Sessums
Jun 27, 2012·The Hastings Center Report·Susan Dorr GooldPeter Muhlberger
Dec 21, 2006·International Journal of Health Services : Planning, Administration, Evaluation·Jae Kennedy, Steve Morgan
Dec 18, 2014·Journal of Medical Ethics·Jennifer Ruger
Apr 15, 2018·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Mélinée SchindlerSamia A Hurst
Sep 13, 2007·Health Affairs·Marthe R GoldTaryn Siegelberg
Feb 23, 2020·Journal of Health Politics, Policy and Law·C Daniel MyersSusan Dorr Goold
Nov 8, 2014·Clinical Oral Implants Research·Melanie MenassaElham Emami
Jun 30, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Susan Dorr GooldCengiz Salman
Aug 7, 2018·International Journal of Health Policy and Management·Samia A HurstMarion Danis

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