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Report from Families USA
March 1, 2007

The Great Divide:
When Kids Get Sick, Insurance Matters


Key Findings

Traumatic Brain Injury

  • Among children admitted to the hospital with traumatic brain injury (TBI)—frequently the result of car, bicycle, or pedestrian accidents—uninsured children were more than twice as likely to die while in the hospital as insured children (Table 1).
  • Among children admitted to the hospital with TBI, uninsured children were nearly a third less likely (32 percent) to receive intracranial pressure monitoring (a medical procedure indicative of aggressive treatment) than insured children (Table 1).
  • Among children admitted to the hospital with TBI who survived, uninsured children were 46 percent less likely to be discharged to rehabilitative care than insured children (Table 1).
    Uninsured children admitted to the hospital with TBI were discharged from the hospital, on average, almost three days earlier than comparable insured children (Table 1).

General Injury

  • Uninsured children admitted to the hospital due to injuries were twice as likely to die while in the hospital as their insured counterparts (Table 2).
  • At the state level, uninsured children admitted to the hospital due to injuries were more likely to die than their insured counterparts in 26 of the 29 states with statistically reportable data (Table 2).
  • Uninsured children admitted to the hospital due to injuries were 44 percent less likely to be discharged to rehabilitative care than insured children (Table 3).
  • At the state level, uninsured children admitted to the hospital due to injuries were less likely to be discharged to rehabilitative care than their insured counterparts in 27 of the 29 states with statistically reportable data (Table 3).

Appendicitis

  • Among children admitted to the hospital with appendicitis, uninsured children were 18 percent less likely to receive a laparoscopic appendectomy, a less invasive and less painful way to remove the appendix than regular, open surgery (Table 4).
  • At the state level, uninsured children admitted to the hospital with appendicitis were less likely to receive a laparoscopic appendectomy than their insured counterparts in 11 of the 14 states with statistically reportable data (Table 4).

Ear Infections

  • Among children admitted to the hospital with otitis media (middle ear infection), uninsured children were less than half as likely to get ear tubes inserted than insured children (Table 5).
  • At the state level, uninsured children admitted to the hospital with otitis media were less likely to get ear tubes inserted than their insured counterparts in 14 of the 15 states with statistically reportable data (Table 5).

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Introduction

Full report
(pdf version)

Memo from
Ron Pollack

Executive Director
Families USA

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