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child care - Digital Library Collections

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CHILD<br />

HEALTH<br />

hospitalization for asthma almost doubled among<br />

<strong>child</strong>ren under age 1. Although the reasons for this<br />

dramatic increase are not completely clear, poverty<br />

plays a role. Poor and minority <strong>child</strong>ren suffer from<br />

asthma disproportionately, and a number of studies<br />

have linked poor housing conditions to increased<br />

respiratory illness among poor <strong>child</strong>ren<br />

(see page 17).<br />

Uninsured Children:<br />

An Urgent Problem<br />

There is widespread agreement that health insurance<br />

coverage is vital to <strong>child</strong>ren's well-being<br />

and future success. Tragically, millions of<br />

<strong>child</strong>ren have no coverage whatsoever. The lack of<br />

health insurance for <strong>child</strong>ren is not only a grave<br />

problem but a growing one. According to the Census<br />

Bureau's March 1997 Current Population Survey,<br />

the number of <strong>child</strong>ren age 18 and under who<br />

are uninsured year-round reached more than 11<br />

million in 1996-a record high. Of the 1.1 million<br />

Americans added to the ranks of the uninsured in<br />

1996, about 800,000-70 percent-were <strong>child</strong>ren<br />

(see figure 2.2). The overwhelming majority of uninsured<br />

<strong>child</strong>ren came from working families: 92<br />

Uninsured Childrenpercent<br />

had parents with jobs, and 66 percent had<br />

at least one parent working full-time all year long.<br />

However, as more and more employers have raised<br />

employee premiums for family coverage or<br />

dropped coverage altogether, and as more workers<br />

have shifted from full-time employment into contract,<br />

temporary, or part-time work without benefits,<br />

many working parents can no longer afford<br />

health insurance for the whole family. (For a ranking<br />

of the states with the most and the least health<br />

coverage for <strong>child</strong>ren, see table 2.2.)<br />

New research confmns the risks <strong>child</strong>ren suffer<br />

when they lose health insurance. A July 1997<br />

report from the National Center for Health Statistics<br />

shows that uninsured <strong>child</strong>ren are six times as<br />

likely as privately insured <strong>child</strong>ren to go without<br />

needed medical <strong>care</strong>, five times as likely to use the<br />

hospital emergency room as a regular source of<br />

health <strong>care</strong>, and four times as likely to have necessary<br />

health <strong>care</strong> delayed. Analysis of the report<br />

shows that one in four uninsured <strong>child</strong>ren either<br />

uses the hospital emergency room as a regular<br />

source of health <strong>care</strong> or has no regular source of<br />

<strong>care</strong>.<br />

The 1996 annual report for Florida's Healthy<br />

Kids, a program that subsidizes health insurance<br />

Figure 2.2<br />

More than nine in ten<br />

uninsured <strong>child</strong>ren have<br />

working parents, and<br />

further cuts in employer<br />

health coverage are<br />

hurting <strong>child</strong>ren the most.<br />

Seven of every 10<br />

Americans added to the<br />

Uninsured <strong>child</strong>ren and<br />

parental work status<br />

in 1996<br />

The newly uninsured<br />

in 1996 u<br />

ranks of the uninsured in<br />

1996 were <strong>child</strong>ren.<br />

"'Data cover <strong>child</strong>ren through age 18.<br />

o. Based on the total increase from 1995 to 1996 in the number of uninsured <strong>child</strong>ren and adults.<br />

Source: U.S. Deportment of Commerce, Bureau of the Census, Morch 1996 and 1997<br />

Current Populotion Surveys. Calculations by Children's Defense Fund.<br />

CHI L D R EN'S D E FEN S E FUN D 25

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