A galvanizing event to promote improving health insurance.

IF 0.8 Q4 PEDIATRICS
Amy J Houtrow
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Abstract

For almost all Americans, having affordable access to quality health care in the United States requires health insurance. Inadequate insurance is more common among children with disabilities and complex health conditions than other children. For children, insurance is considered adequate if the benefits must usually or always meet the child's needs and usually or always allow the child to see needed providers and the family reports no out-of-pocket expenses or out-of-pocket expenses deemed usually or always reasonable. After the CEO of UnitedHealthcare was killed in front of a Manhattan hotel on his way to his annual investor conference in December 2024, there was an outpouring of stories on social media about how people felt their loved ones were harmed by health insurance companies denying care that their doctors recommended. While murder as a form of vigilante justice should not be condoned, this event highlighted how angry Americans are at health insurance companies. Pediatric rehabilitation medicine physicians are no strangers to the frustrations of insurance denials for their patients and feel the strain of having to work through prior authorizations and peer-to-peers just to get their patients what they deem important for their health and functioning. The national data confirms what pediatric rehabilitation medicine physicians knew from collective experience - millions of children with more complex health care needs have inadequate insurance.

促进改善健康保险的激励事件。
对于几乎所有美国人来说,要想在美国负担得起高质量的医疗保健服务,就需要医疗保险。与其他儿童相比,残疾儿童和健康状况复杂的儿童保险不足的情况更为普遍。对于儿童来说,如果福利必须通常或总是满足孩子的需要,并且通常或总是允许孩子看到需要的提供者,并且家庭报告没有自付费用或自付费用通常或总是合理的,则保险被认为是适当的。2024年12月,联合医疗公司(UnitedHealthcare)的首席执行官在前往年度投资者会议的途中在曼哈顿一家酒店前被杀,此后社交媒体上出现了大量关于人们如何感受自己的亲人因医疗保险公司拒绝医生建议的医疗服务而受到伤害的故事。虽然作为一种自发司法形式的谋杀不应该被宽恕,但这一事件突显了美国人对医疗保险公司的愤怒。儿科康复医学医生对他们的病人被拒绝保险的挫败感并不陌生,他们感到必须通过事先授权和同伴对同伴的工作来获得他们认为对他们的健康和功能重要的病人的压力。国家数据证实了儿童康复医学医生从集体经验中所知道的——数百万有更复杂医疗保健需求的儿童没有足够的保险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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