Editor's Note: This article continues our 8-part series excerpted from the "Healthcare Hostage Crisis" chapter of AC360 contributor David Gewirtz's upcoming book, How To Save Jobs, which will be available in October. To learn more about the book, follow David on Twitter at http://www.twitter.com/DavidGewirtz. Last week we learned employer-provided healthcare began as a marketing gimick. This week, we see the astonishing scope of the problem.
[cnn-photo-caption image=http://i2.cdn.turner.com/cnn/2009/images/07/28/art.vert.book.gewirtz.jobs.jpg width=292 height=320]
David Gewirtz | BIO
Editor-in-Chief, ZATZ Publishing
As has been my trend in this book, I'm pulling facts and figures from the entities that are likely to provide the most favorable perspective for their particular points of view. This gives us the most conservative, least controversial numbers (they're bad enough, anyway).
So, for health insurance related numbers, I'm using statistics provided by the Blue Cross and Blue Shield Association (BCBSA), which "provides healthcare coverage for more than 100 million people or one-in-three Americans."
Want to know how many people in the U.S. don't have health insurance? The population of our 44 largest cities - combined.
By using numbers from their Healthcare Trends in America 2009 Edition, we're likely to get the most conservative, least radical analysis of the situation - basically the best-case scenario. Throughout How To Save Jobs, I've done my best to make sure the numbers are unimpeachable. So let's look at what one of the nation's largest health insurance providers says about health insurance.
According to Blue Cross and Blue Shield Association, citing the U.S. Census Bureau, the percentage of the U.S. population covered by health insurance has stayed relatively constant, at about 85 percent. The means, of course, that 15 percent - 46 million people, give or take the population of San Francisco - don't have health insurance.
If you're like me, I'll bet you find it hard to picture just how many people 46 million people are. So try this.
If you combined the populations of New York City, Los Angeles, Chicago, Houston, Phoenix, Philadelphia, San Antonio, Dallas, San Diego, San Jose, Detroit, San Francisco, Jacksonville, Indianapolis, Austin, Columbus, Fort Worth, Charlotte, Memphis, Baltimore, El Paso, Boston, Milwaukee, Denver, Seattle, Nashville, Washington DC, Las Vegas, Portland, Louisville, Oklahoma City, Tucson, Atlanta, Albuquerque, Fresno, Sacramento, Long Beach, Mesa, Kansas City, Omaha, Cleveland, Virginia Beach, Miami, Oakland, and Raleigh, you'd still have less people than the number of people in America who don't have health insurance.
That's a lot of people who are completely f@#cked if they get sick.
Can you see, now, how healthcare becomes a critical national security issue? We're talking the population of the top 45 cities in the United States, all who can't get healthcare. Imagine (worst case scenario) that all those cities shut down. America, as a civilization, would come to a screaming halt.
And this is the best-case scenario coming directly from the health insurance industry! Clearly, the health insurance model isn't working. A more probable scenario comes from the AFL-CIO, who references a report a report entitled Americans at Risk, from the healthcare advocacy group Families USA.
According to Americans at Risk, one in three Americans went without health insurance some time in 2007 or 2008. Their study shows 86.7 million individuals were uninsured, and:
Three in five (60.2 percent) were uninsured for nine months or more. Nearly three-quarters (74.5 percent) were uninsured for six months or more.
If you wanted to try to picture 86.7 million Americans, just imagine you combined all of the people living in the top 273 cities in the United States.
So, in addition to everyone in cities from New York City to Raleigh being without health insurance for at least some time in the last two years, add every resident of Tulsa, Minneapolis, Colorado Springs, Honolulu, Arlington, Wichita, St. Louis, Tampa, Santa Ana, Anaheim, Cincinnati, Bakersfield, Aurora, New Orleans, Pittsburgh, Riverside, Toledo, Stockton, Corpus Christi, Lexington, St. Paul, Anchorage, Newark, Buffalo, Plano, Henderson, Lincoln, Fort Wayne, Glendale, Greensboro, Chandler, St. Petersburg, and Jersey City.
Add every resident from Scottsdale, Norfolk, Madison, Orlando, Birmingham, Baton Rouge, Durham, Laredo, Lubbock, Chesapeake, Chula Vista, Garland, Winston-Salem, North Las Vegas, Reno, Gilbert, Hialeah, Arlington, Akron, Irvine, Rochester, Boise City, Modesto, Fremont, Montgomery, Spokane, Richmond, Yonkers, Irving, Shreveport, San Bernardino, Tacoma, Glendale, Des Moines, Augusta, Grand Rapids, Huntington Beach, Mobile, Moreno Valley, Little Rock, Amarillo, Columbus, Oxnard, Fontana, Knoxville, Fort Lauderdale, Salt Lake City, Newport News, Huntsville, Tempe, Brownsville, Worcester, Fayetteville, Jackson, and Tallahassee.
Add every resident from Aurora, Ontario, Providence, Overland Park, Rancho Cucamonga, Chattanooga, Oceanside, Santa Clarita, Garden Grove, Vancouver, Grand Prairie, Peoria, Rockford, Cape Coral, Springfield, Santa Rosa, Sioux Falls, Port St. Lucie, Dayton, Salem, Pomona, Springfield, Eugene, Corona, Pasadena, Joliet, Pembroke Pines, Paterson, Hampton, Lancaster, Alexandria, Salinas, Palmdale, Naperville, Pasadena, Kansas City, Hayward, Hollywood, Lakewood, Torrance, and Syracuse.
Add every resident from Escondido, Fort Collins, Bridgeport, Orange, Warren, Elk Grove, Savannah, Mesquite, Sunnyvale, Fullerton, McAllen, Cary, Cedar Rapids, Sterling Heights, Columbia, Coral Springs, Carrollton, Elizabeth, Hartford, Waco, Bellevue, New Haven, West Valley City, Topeka, Thousand Oaks, El Monte, McKinney, Concord, Visalia, Simi Valley, Olathe, Clarksville, Denton, Stamford, Provo, Springfield, Killeen, Abilene, Evansville, Gainesville, Vallejo, Ann Arbor, and Peoria.
Add every resident from Lansing, Lafayette, Thornton, Athens, Flint, Inglewood, Roseville, Charleston, Beaumont, Independence, Victorville, Santa Clara, Costa Mesa, Miami Gardens, Manchester, Miramar, Downey, Arvada, Allentown, Westminster, Waterbury, Norman, Midland, Elgin, West Covina, Clearwater, Cambridge, and Pueblo.
Add every resident from West Jordan, Round Rock, Billings, Erie, South Bend, San Buenaventura, Fairfield, Lowell, Norwalk, Burbank, Richmond, Pompano Beach, High Point, Murfreesboro, Lewisville, Richardson, Daly City, Berkeley, Gresham, Wichita Falls, Green Bay, Davenport, my own Palm Bay, Columbia, Portsmouth, Rochester, Antioch, and Wilmington.
Those are America's top 273 cities and that listing vividly showcases just how many Americans went without healthcare for at least some time in the last two years, 75 percent of whom were without coverage for six months or more.
Pushing reset on pre-existing conditions
This gap is particularly troubling, because if any of these people went without insurance coverage for even a short time, many insurance policies that covered illnesses and existing health conditions would reset, making conditions that were once covered into so-called "pre-existing conditions," and no longer covered.
One in three Americans.
If you were to hear a news report that a pandemic had struck America, and citizens in the United States' top 273 cities were struck down with disease, it would be the horror story of the century.
But here we have one in three Americans losing critical healthcare coverage (and possibly losing the chance for future care due to newly-minted pre-existing conditions), and instead of jumping to help, institutions like the AMA are fighting against fixing the system. More on that later.
Follow David on Twitter at http://www.Twitter.com/DavidGewirtz.
Editor’s note: David Gewirtz is Editor-in-Chief, ZATZ Magazines, including OutlookPower Magazine. He is a leading Presidential scholar specializing in White House email. He is a member of FBI InfraGard, the Cyberterrorism Advisor for the International Association for Counterterrorism & Security Professionals, a columnist for The Journal of Counterterrorism and Homeland Security, and has been a guest commentator for the Nieman Watchdog of the Nieman Foundation for Journalism at Harvard University. He is a faculty member at the University of California, Berkeley extension, a recipient of the Sigma Xi Research Award in Engineering and was a candidate for the 2008 Pulitzer Prize in Letters.