Lack of health insurance leads to 45 000 excess deaths in US

doi:10.1136/bmj.b3838

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Jeanne Lenzer

¹New York

Researchers at Harvard University report that lack of health insurance is taking a huge toll on US citizens and is associated with 45 000 excess deaths annually among those aged 18 to 64 years, even after controlling for factors such as smoking, obesity, race and ethnicity, income, and alcohol use.

The study, published on 17 September in the American Journal of Public Health, (www.ajph.org/) updates a 2002 report by the Institute of Medicine …