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Americans spend more on health care than any other nation. Yet almost half can’t afford care.
Americans spend more money on health care on a per capita basis than people in any other developed nation, yet almost half say they’ve struggled recently to pay for medical treatment or prescription drugs, according to a new study from Gallup and West Health.
About 45% of those polled by the organizations said they’d recently had to skip treatment or medicine either because of cost or lack of easy access. Of those, about 8% said they also wouldn’t have access to affordable care if they required it today, a group that Gallup and West Health termed “cost desperate.”
While 55% of Americans are “cost secure,” meaning they can afford care and medicine, that’s a decline from 61% who fell into that category in 2022, the study found.
More people are struggling with health care costs partly due to higher inflation as well as a long-term trend toward insurance plans with higher deductibles and less comprehensive coverage, Tim Lash, president of West Health, a nonprofit group focused promoting affordable medical care, told CBS MoneyWatch. About 94% of those surveyed believe they or Americans in general are paying too much for health care and not getting their money’s worth.
“We see individuals and families making decisions that no one should have to make, from, ‘Should I go on vacation or do I pay for health care and medication,’ or at the worst, ‘How do I ration my food to afford my prescriptions?'” Lash said. “As the wealthiest and most developed country, that’s not where we should be.”
Americans spend an average of $12,555 per person annually on health care, according to the Peterson-KFF Health Care Tracker. By comparison, typical health care spending across other developed nations is about $6,651, their analysis found.
“What we found as we string together the trend of data points is really quite concerning,” Lash said. “It’s that health care affordability has been getting worse — it shines a light on the number of families that can’t afford things like prescription drugs.”
Rising insurance costs
The average family insurance deductible in the U.S. stood at about $3,800 in 2022, up from $2,500 in 2013, according to KFF. The IRS considers insurance for families with deductibles of $3,200 or more to be high deductible plans.
Americans with health care insurance are also struggling to afford coverage, with some complaining that their insurers are putting up roadblocks to gaining access to care. On Monday, for example, demonstrators outside of UnitedHealthcare headquarters protested what they allege is the company’s practice of refusing to approve care through prior authorization denials or through claim denials.
“Health insurance coverage has expanded in America, but we are finding it is private health insurance corporations themselves that are often the largest barrier for people to receive the care they and their doctor agree they need,” Aija Nemer-Aanerud, campaign director with the People’s Action Institute, told CBS Minnesota.
A spokesperson for UnitedHealthcare told CBS Minnesota it had resolved the issues raised by protesters.
The Gallup-West Health study also found that bigger gaps in affordability for some demographics, with Black and Hispanic people more likely to face problems in paying for medical treatment or prescriptions. Older Americans between 50 to 64 — those who don’t yet qualify for Medicare, which kicks in at 65 — are also facing more challenges, the study found.
“For me, there is an opportunity in the data — this clearly demonstrate this is a pain point that isn’t acceptable,” Lash said. “I’m hopeful we can leverage theses types of results to engage in meaningful reform.”
TRENTON, N.J. — Democratic Newark City Council President LaMonica McIver has defeated Republican small businessman Carmen Bucco in a contest in New Jersey’s 10th Congressional District that opened up because of the death of Rep. Donald Payne Jr. in April.
McIver will serve out the remainder of Payne’s term, which ends in January. She and Bucco will face a rematch on the November ballot for the full term.
McIver said in a statement Wednesday that she stands on the “shoulders of giants,” naming Payne as chief among them.
She cast ahead to the November election, saying the right to make reproductive health choices was on the ballot as well as whether the economy should benefit the wealthy or “hard working Americans.”
“I will fight because the purpose of politics and the purpose of our vote is to give the people of our communities and our nation a bold voice,” she said.
Bucco congratulated McIver on the victory in a statement but said he’s looking forward to the rematch in November.
“I am not going anywhere,” he said in an email. “We still have a second chance to make district 10 great again!”
Who are LaMonica McIver and Carmen Bucco?
McIver emerged as the Democratic candidate in a crowded field in the July special election. A member of the city council of New Jersey’s biggest city since 2018, she also worked for Montclair Public Schools as a personnel director and plans to focus on affordability, infrastructure, abortion rights and “protecting our democracy,” she told The Associated Press earlier this summer.
Bucco describes himself on his campaign website as a small-business owner influenced by his upbringing in the foster system. He lists support for law enforcement and ending corruption as top issues.
The 10th District lies in a heavily Democratic and majority-Black region of northern New Jersey. Republicans are outnumbered by more than 6 to 1.
It’s been a volatile year for Democrats in New Jersey, where the party dominates state government and the congressional delegation.
Among the developments were the conviction on federal bribery charges of U.S. Sen. Bob Menendez, who has denied the charges, and the demise of the so-called county party line — a system in which local political leaders give their preferred candidates favorable position on the primary ballot.
Democratic Rep. Andy Kim, who’s running for Menendez’s seat, and other Democrats brought a federal lawsuit challenging the practice as part of his campaign to oust Menendez, who has resigned since his conviction.
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Sean “Diddy” Combs at same Brooklyn detention center that held R. Kelly, Sam Bankman-Fried, other high-profile inmates
A second judge refused to grant bail to Sean “Diddy” Combs on Wednesday and he could remain in federal custody at a Brooklyn detention center until his trial for sex trafficking charges. Combs joins other high-profile inmates, such as singer R. Kelly, fallen cryptocurrency mogul Sam Bankman-Fried, rapper Ja Rule —even Al Sharpton served a brief stint— who were held at the same federal detention center.
Notorious for its horrible conditions —inmates won a $10 million class action settlement after enduring frigid conditions during an 8-day blackout in 2019— the waterfront industrial complex, MDC Brooklyn, houses 1,200 inmates.
JOHANNES EISELE/AFP via Getty Images
Violence and corruption have long plagued the facility; U.S. District Judge Gary R. Brown of the Eastern District of New York wrote the detention center had “dangerous, barbaric conditions” in a recent sentencing opinion. Two inmates were stabbed to death in recent months and several correction officers have been convicted for smuggling contraband and accepting bribes.
Combs joins a list of high-profile personalities that have landed at the MDC Brooklyn, partly because the city’s other federal detention center, MDC New York, closed in 2021, also due to horrible conditions. The disgraced financier Jeffrey Epstein died by suicide in his cell there in 2019. “Numerous and serious” instances of misconduct among corrections staff gave Epstein the opportunity to kill himself, a subsequent federal watchdog investigation found.
Kelly sued the federal detention center in 2022 for wrongly putting him on suicide watch after his sentencing. Kelly sought $100 million because he said the detention center knew he wasn’t suicidal after he was convicted in 2021 for racketeering and violating the Mann Act, which bars transporting people across state lines for prostitution.
Yuki Iwamura/Bloomberg via Getty Images
Former crypto billionaire Bankman-Fried survived on bread, water and sometimes peanut butter when he was in the MDC Brooklyn, his attorney said, because the detention center continued to serve him a “flesh diet” despite requests for vegan dishes.
Ja Rule stayed at the MDC Brooklyn for a brief time before being released after serving most of his two-year sentence for illegal gun possession. Most of his prison time was spent in a state prison in New York.
Sharpton served a 90-day sentence in 2001 and went on a hunger strike for protesting the U.S. Navy bombing of the island of Vieques, in Puerto Rico.
Combs was taken into custody on Monday and according to an indictment unsealed Tuesday he was charged with sex trafficking, racketeering conspiracy and transportation to engage in prostitution.
His attorney Marc Agnifilo told CBS News, “It’s impossible to prepare for a trial from where he is,” after a first federal judge denied Combs bail on Tuesday.
U.S. Magistrate Judge Robyn Tarnofsky agreed with prosecutors who argued the hip-hop mogul, who is accused of using his business empire as a criminal enterprise to conceal his alleged abuse of women, is a flight risk and poses an ongoing threat to the safety of the community.
Agnifilo said the part of the detention center where Combs is being held is “a very difficult place to be.”
contributed to this report.
