This story comes from our partner

Nearly 46 million people in America are without health insurance. But by some estimates, as many as one-third of them are what you might call “voluntarily uninsured.” These are people who could afford coverage but don’t buy it.

Lyn Robinson is one of them. She’s the owner of Zenith Holland Gardens, a wholesale plant nursery in Des Moines, Wash.

“As a small business owner, sometimes it’s hard to pay the bills every month,” the athletic 52-year-old says regarding why she doesn’t have health insurance. She’s driving to an appointment with her chiropractor, which she pays for out of pocket.

“Most months I can do that, but every couple of years I’ll run into a dry spell where maybe for three or four months it’s a struggle, and things like health insurance, medical premiums, I’m not going to be able to pay,” Robinson says.

Weighing The Costs

Robinson estimates that health insurance would cost her about $500 a month. That’s a lot of money for a policy that might not even cover the kind of preventive care she values.

As she drives down the interstate, Robinson explains that she’s a big believer in alternative medicine. She regularly visits not only a chiropractor, but also a naturopath, an acupuncturist and a massage therapist.

“I’d rather use the $6,000 a year that I would pay in health insurance premiums and put it toward actual care – pay the doctor directly,” she says.

On this particular day, Robinson is going to the chiropractor for a variety of aches and pains related to her active lifestyle. This summer she sprained her ankle on a 10-day backpacking trip. She also has a cracked rib from inner-tubing with her grandson behind a powerboat.

At the chiropractor’s office, Greg Summers gets right to work on Robinson’s rib. It sounds awfully painful. She cries out as he manipulates her torso.

“Miss me?” Summers jokes.

Several manipulations later, Summers is finished and Robinsons says, despite her painful yelp, she feels good.

“At that moment it hurts, but always afterward it feels better,” she says.

Robinson pays her bill, which is $35 a visit. She says another reason she’s uninsured is she doesn’t particularly trust insurance companies. She thinks they interfere in the relationship between patient and doctor – driving up administrative costs and deciding what is and isn’t covered.

A Calculated Risk

Robinson likes the power of deciding where and when to spend her medical dollars. Just like when she climbs mountains and goes snowboarding, she says, not being insured is taking a calculated risk.

“I’m sure that there’s people out there that are going to say that’s crazy and irresponsible,” Robinson says. “Maybe it is, maybe it isn’t. Maybe we’re just brainwashed into believing that we are supposed to have insurance to be fiscally responsible.”

It’s not as though Robinson’s philosophy about health insurance hasn’t been tested. Nearly a decade ago she fell while Rollerblading and badly broke her wrist. She had to have two surgeries. The whole ordeal cost her $14,000 out of pocket. You might think an experience like that would have shaken Robinson’s belief that she can go through life without the blanket of protection that insurance affords. In fact, she says it had just the opposite effect.

“If I have one of those kinds of incidents once in 10 years, I can pay the bill because I haven’t paid worthless insurance premiums, I haven’t paid out $6,000 a year for the false security that somebody’s going to take care of me if something happens,” Robinson explains.

Seeking A Plan That Works For Her

Self-reliant as she is, Robinson admits that in a perfect world she’d like insurance – if it was affordable and if the plan was tailored to her.

She says she doesn’t want to subsidize people who live unhealthy lives, and she doesn’t want to pay the same premiums as the average 50-something woman.

“If they could factor in my health – like, I could be rewarded for the fact that I have low blood pressure, low cholesterol, low body fat, low resting heart rate, I should benefit from that,” Robinson argues. “Those that don’t have that maybe pay a little more. But maybe I pay a little more because I ski and snowboard.”

Robinson says participating in this story has made her give a lot of thought to being uninsured. And it’s rattled her a bit. If she got really sick or hurt and racked up hundreds of thousands of dollars in medical bills, she could lose her business.

For that reason, Robinson says, she has started shopping around for lower-cost catastrophic coverage – just in case.

This <a target="_blank" href="/insurance/npr-voluntarily-uninsured/">article</a&gt; first appeared on <a target="_blank" href="">麻豆女优 Health News</a> and is republished here under a <a target="_blank" href=" Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.<img src="/wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=150&quot; style="width:1em;height:1em;margin-left:10px;">

This story comes from our partner

Deborah Llavanes is one of a growing number of middle-income Americans who, because of the recession, have lost their jobs and their health coverage. For the first time in her life, Llavanes is turning to a community health clinic for her medical needs.

At the Healthpoint Dental Clinic in Redmond, Wash., Llavanes sits in the waiting room. She’s here to get a couple of cavities filled. She discovered Healthpoint last winter when she got sick and needed a doctor.

“I am at Healthpoint because I do not have insurance coverage, and Healthpoint provides a sliding scale where, based on your income, you pay accordingly.”

At age 53, for the first time in her adult life, Llavanes is uninsured. During the height of the real estate boom, Llavanes was working as a mortgage loan officer and made as much as $7,000 a month. Today she is unemployed.

Llavanes takes advantage of the sliding fee offered by Healthpoint and ends up paying $20 for her appointment.

Dr. Kim McDermott, a pediatrician at Healthpoint, says never in her career has she seen such a demand for the sliding-fee medical care her clinic provides.

“More patients who I would consider middle class are coming, and we didn’t use to see that. We were more a safety net for the poorest families in our state,” McDermott says. “But lately I’ve seen more and more patients who had insurance and have lost it – so, a different demographic of patient than we used to see.”

Over the past year, Healthpoint reports a 27 percent jump in requests for appointments at its seven clinics in the Puget Sound region. Harder to come by are up-to-date national statistics on how the current economic crisis is swelling the ranks of the uninsured. The most recent figures – from 2007 – showed nearly 46 million Americans lacked coverage. The number of uninsured is expected to be higher when new data is released this fall.

One figure that can be tracked is visits to emergency rooms. According to the American Hospital Association, 6 in 10 hospitals report an uptick in uninsured visits to the ER.

“We began seeing our first changes as early as October and November of this past year,” says Johnese Spisso of the University of Washington Medicine. UW Medicine operates Seattle’s Harborview Medical Center, a regional trauma center.

Besides more charity cases, Spisso says UW Medicine is noticing another trend.

“One of the things we have seen is people delaying more of what we sometimes in the health care industry call ‘elective surgery,’ and it’s really not elective, it’s scheduled surgeries – so things they need to have done that are not a crisis,” Spisso says. “We’re seeing people delaying that if they’ve lost their insurance.”

More than half of the nation’s hospitals are reporting this trend.

So what’s it like to lose health insurance?

“Stressful,” says Llavanes. “I think it’s something that when you have it and have had it for a lifetime, you don’t really think about the benefits of health care until you need it.”

Llavanes is looking for work, and she says even more important than salary is whether the job comes with health benefits.

This <a target="_blank" href="/news/nprmiddleclass/">article</a&gt; first appeared on <a target="_blank" href="">麻豆女优 Health News</a> and is republished here under a <a target="_blank" href=" Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.<img src="/wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=150&quot; style="width:1em;height:1em;margin-left:10px;">

This story comes from our partner

Nearly 46 million people in America are without health insurance. But by some estimates, as many as one-third of them are what you might call “voluntarily uninsured.” These are people who could afford coverage but don’t buy it.

Lyn Robinson is one of them. She’s the owner of Zenith Holland Gardens, a wholesale plant nursery in Des Moines, Wash.

“As a small business owner, sometimes it’s hard to pay the bills every month,” the athletic 52-year-old says regarding why she doesn’t have health insurance. She’s driving to an appointment with her chiropractor, which she pays for out of pocket.

“Most months I can do that, but every couple of years I’ll run into a dry spell where maybe for three or four months it’s a struggle, and things like health insurance, medical premiums, I’m not going to be able to pay,” Robinson says.

Weighing The Costs

Robinson estimates that health insurance would cost her about $500 a month. That’s a lot of money for a policy that might not even cover the kind of preventive care she values.

As she drives down the interstate, Robinson explains that she’s a big believer in alternative medicine. She regularly visits not only a chiropractor, but also a naturopath, an acupuncturist and a massage therapist.

“I’d rather use the $6,000 a year that I would pay in health insurance premiums and put it toward actual care – pay the doctor directly,” she says.

On this particular day, Robinson is going to the chiropractor for a variety of aches and pains related to her active lifestyle. This summer she sprained her ankle on a 10-day backpacking trip. She also has a cracked rib from inner-tubing with her grandson behind a powerboat.

At the chiropractor’s office, Greg Summers gets right to work on Robinson’s rib. It sounds awfully painful. She cries out as he manipulates her torso.

“Miss me?” Summers jokes.

Several manipulations later, Summers is finished and Robinsons says, despite her painful yelp, she feels good.

“At that moment it hurts, but always afterward it feels better,” she says.

Robinson pays her bill, which is $35 a visit. She says another reason she’s uninsured is she doesn’t particularly trust insurance companies. She thinks they interfere in the relationship between patient and doctor – driving up administrative costs and deciding what is and isn’t covered.

A Calculated Risk

Robinson likes the power of deciding where and when to spend her medical dollars. Just like when she climbs mountains and goes snowboarding, she says, not being insured is taking a calculated risk.

“I’m sure that there’s people out there that are going to say that’s crazy and irresponsible,” Robinson says. “Maybe it is, maybe it isn’t. Maybe we’re just brainwashed into believing that we are supposed to have insurance to be fiscally responsible.”

It’s not as though Robinson’s philosophy about health insurance hasn’t been tested. Nearly a decade ago she fell while Rollerblading and badly broke her wrist. She had to have two surgeries. The whole ordeal cost her $14,000 out of pocket. You might think an experience like that would have shaken Robinson’s belief that she can go through life without the blanket of protection that insurance affords. In fact, she says it had just the opposite effect.

“If I have one of those kinds of incidents once in 10 years, I can pay the bill because I haven’t paid worthless insurance premiums, I haven’t paid out $6,000 a year for the false security that somebody’s going to take care of me if something happens,” Robinson explains.

Seeking A Plan That Works For Her

Self-reliant as she is, Robinson admits that in a perfect world she’d like insurance – if it was affordable and if the plan was tailored to her.

She says she doesn’t want to subsidize people who live unhealthy lives, and she doesn’t want to pay the same premiums as the average 50-something woman.

“If they could factor in my health – like, I could be rewarded for the fact that I have low blood pressure, low cholesterol, low body fat, low resting heart rate, I should benefit from that,” Robinson argues. “Those that don’t have that maybe pay a little more. But maybe I pay a little more because I ski and snowboard.”

Robinson says participating in this story has made her give a lot of thought to being uninsured. And it’s rattled her a bit. If she got really sick or hurt and racked up hundreds of thousands of dollars in medical bills, she could lose her business.

For that reason, Robinson says, she has started shopping around for lower-cost catastrophic coverage – just in case.

This <a target="_blank" href="/insurance/npr-voluntarily-uninsured/">article</a&gt; first appeared on <a target="_blank" href="">麻豆女优 Health News</a> and is republished here under a <a target="_blank" href=" Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.<img src="/wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=150&quot; style="width:1em;height:1em;margin-left:10px;">

This story comes from our partner

Deborah Llavanes is one of a growing number of middle-income Americans who, because of the recession, have lost their jobs and their health coverage. For the first time in her life, Llavanes is turning to a community health clinic for her medical needs.

At the Healthpoint Dental Clinic in Redmond, Wash., Llavanes sits in the waiting room. She’s here to get a couple of cavities filled. She discovered Healthpoint last winter when she got sick and needed a doctor.

“I am at Healthpoint because I do not have insurance coverage, and Healthpoint provides a sliding scale where, based on your income, you pay accordingly.”

At age 53, for the first time in her adult life, Llavanes is uninsured. During the height of the real estate boom, Llavanes was working as a mortgage loan officer and made as much as $7,000 a month. Today she is unemployed.

Llavanes takes advantage of the sliding fee offered by Healthpoint and ends up paying $20 for her appointment.

Dr. Kim McDermott, a pediatrician at Healthpoint, says never in her career has she seen such a demand for the sliding-fee medical care her clinic provides.

“More patients who I would consider middle class are coming, and we didn’t use to see that. We were more a safety net for the poorest families in our state,” McDermott says. “But lately I’ve seen more and more patients who had insurance and have lost it – so, a different demographic of patient than we used to see.”

Over the past year, Healthpoint reports a 27 percent jump in requests for appointments at its seven clinics in the Puget Sound region. Harder to come by are up-to-date national statistics on how the current economic crisis is swelling the ranks of the uninsured. The most recent figures – from 2007 – showed nearly 46 million Americans lacked coverage. The number of uninsured is expected to be higher when new data is released this fall.

One figure that can be tracked is visits to emergency rooms. According to the American Hospital Association, 6 in 10 hospitals report an uptick in uninsured visits to the ER.

“We began seeing our first changes as early as October and November of this past year,” says Johnese Spisso of the University of Washington Medicine. UW Medicine operates Seattle’s Harborview Medical Center, a regional trauma center.

Besides more charity cases, Spisso says UW Medicine is noticing another trend.

“One of the things we have seen is people delaying more of what we sometimes in the health care industry call ‘elective surgery,’ and it’s really not elective, it’s scheduled surgeries – so things they need to have done that are not a crisis,” Spisso says. “We’re seeing people delaying that if they’ve lost their insurance.”

More than half of the nation’s hospitals are reporting this trend.

So what’s it like to lose health insurance?

“Stressful,” says Llavanes. “I think it’s something that when you have it and have had it for a lifetime, you don’t really think about the benefits of health care until you need it.”

Llavanes is looking for work, and she says even more important than salary is whether the job comes with health benefits.

This <a target="_blank" href="/news/nprmiddleclass/">article</a&gt; first appeared on <a target="_blank" href="">麻豆女优 Health News</a> and is republished here under a <a target="_blank" href=" Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.<img src="/wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=150&quot; style="width:1em;height:1em;margin-left:10px;">