In Texas, Lack Of Healthcare Coverage Affects Parents And Families

Health coverage for the family helps to assist thoseAt the same time, the coverage that is available is too
families in obtaining more affordable healthcareexpensive for most parents to afford.
services, says a report by the Henry J. Kaiser FamilyAlthough many children are in families where they
Foundation. The Foundation, which based the report onwould be eligible for the State Children's Health
its 2005 Low-Income Coverage and Access Survey,Insurance Program, concerns exist over widespread
makes the argument that not having health insuranceknowledge of the programs -- only 47% say they
affects not just a parent's health, but also thehave heard of SCHIP.
well-being of the entire family.Research, the Kaiser report says, has documented the
The vast majority of low-income uninsured parents,importance of family coverage as a tool to reach
according to the report, are without access to healthuninsured children and to improve access to
coverage. At the same time, their children are alsohealthcare.
much more likely to be without health insurance. Indeed,Low-income uninsured parents often have serious
four out of 10 low-income parents, defined as thosehealth problems, says the Kaiser report. Unfortunately,
with income below 200% of the federal poverty levelfinancial barriers block access to care.
(about $40,000 for a family of four in 2007) do notMore than one quarter of uninsured parents in
have health insurance coverage.low-income families say they have fair or poor health,
Throughout Texas, and especially in cities such aswith 14% saying they experience pain almost every
Dallas, Houston and Austin, the percentage ofday and 8% reporting they have a disability that
uninsured residents is higher than any other state --prevents them from participating fully in work or other
more than 24% according to most observers, includingactivities. Nearly half of uninsured parents, the Kaiser
the Robert Wood Johnson Foundation.report says, say they have a chronic condition, leading
The Kaiser Family Foundation report also states thatto the likelihood of their receiving less care with worse
most low-income uninsured parents are in workinghealth outcomes than for those with similar health
families but with employment in areas of the economyconditions who do have health insurance.
that do not typically offer health coverage. ThoseWhile low-income uninsured parents have serious
sectors include construction, service and agriculturalhealthcare problems, the Kaiser report states that their
jobs, areas with the lowest levels ofconditions are far worse than those with insured
employer-sponsored insurance. The U.S. Censusparents. Low-income uninsured parents, for example,
Bureau indicates that only about 25% of low-incomeare half as likely to have visited a doctor for
workers in these industries were covered through anpreventive care in the past 12 months. Further, those
employer-sponsored plan in 2005.without a medical home or regular preventive care
Workers without health insurance are also more likelymay delay treatment in the early stages of a condition,
to work for firms with fewer than 25 employees,allowing the condition to worsen and possibly leading to
those companies being least likely to provide employermore expensive treatment later on.
coverage.The Kaiser report also states that lack of care causes
More than half of uninsured low-income parents inserious health and financial consequences for
employed families work for companies that do notlow-income uninsured parents, with 60% saying they
offer coverage to any employees. Further, they do notsaw their condition get worse as a result of not getting
have coverage through a spouse. Also, an additionaltimely care and 30% reporting a loss of time at work
35% of low-income uninsured parents are not eligibleor other activities.
for coverage through either their employer or theirAs the Kaiser report summarizes, health insurance for
spouse's employer, either because they have not beenlow-income parents influences not only their own
employed long enough or they do not work enoughhealth and access to care but also the well-being of
hours to be covered.their families. When parents have health insurance, their
Only 13% of low-income uninsured parents havechildren are more likely to be covered as well, giving
access to employer coverage, the Kaiser report says.them access to healthcare.