Rise in insurance premiums exceeds growth in earnings in all US states

BMJ 2011; 343 doi: (Published 21 November 2011) Cite this as: BMJ 2011;343:d7503
  1. Bob Roehr
  1. 1Washington, DC

Health insurance premiums in the United States for a family of four are projected to reach an average of nearly $24 000 (£16 500; €19 000) a year by 2020 if trends continue, says a new report from the Commonwealth Fund, a charitable private foundation in New York that works to improve the performance of health systems. “It is putting families in an untenable position,” said the fund’s president, Karen Davis.

The state by state analysis shows that premiums rose by 50% from 2003 to 2010, when President Barack Obama’s health reform legislation, the Affordable Care Act, was enacted. In 2003 the typical premium consumed less than 14% of median income in 13 states, but by 2010 no …

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