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Friday, October 21, 2005

Fewer Pennsylvanians Get Health Insurance Through Their Jobs

Press Release



Keystone Research Center finds 494,000 fewer Pennsylvanians Covered by

Employer-Provided Health Insurance Since 2000



HARRISBURG, Pa., Oct. 21 /PRNewswire/ -- The number of Pennsylvanians with

employer-provided health insurance declined by 4.1 percent between 2000 and

2004 according to a new study by the Keystone Research Center and Washington

D.C.-based Economic Policy Institute.

The decline means that about 494,000 fewer Pennsylvanians get health

insurance through their employer today than did in 2000. One in seven of the

people who lost employer-provided health insurance coverage in the U.S.

between 2000 and 2004 lived in Pennsylvania.

"Ask most people what they think a good job is and you'll hear them answer

'one that provides health insurance,'" said Mark Price, a labor economist at

the Keystone Research Center. "By this widely accepted measure, the quality of

many jobs in Pennsylvania has declined over the last five years."

"The only real alternative for workers not earning a poverty wage who lose

insurance is to purchase coverage on their own. To replace employer provided

family coverage in 2004 would have cost Pennsylvania families about $9,000 or

21 percent of the state's median household income of $42,941," said Price.

"The loss of employer-provided health insurance is clearly a financial

challenge for middle-class families. We have created a world-class health

system that too few businesses and families can afford."

In the United States as a whole, over the last four years, about 3.7

million fewer people had employer-provided health insurance, while Medicaid,

including the State Children's Health Insurance Program (SCHIP), increased

nation wide by nearly eight million participants. This is a significant shift

from private sector coverage to public sector coverage, especially in the case

of children.

Although nationally, 2.5 million youth lost employer-provided health

coverage between 2000 and 2004, many were caught by the public sector safety

net as indicated by the enrollment of an additional 4.8 million more children

in both Medicaid and the State Children's Health Insurance Program (SCHIP)

over that same time period.

Because some employers have transferred the responsibility of insuring

their employees onto the public system, local governments in New York have

begun to adopt measures that require businesses to provide health insurance to

their workers, or pay into a government fund that provides coverage to

workers.

"In Pennsylvania we have to begin to think seriously about the

consequences of employers shifting the cost of doing business onto the

taxpayer." Price went on to say "Good employers would welcome reforms that

require their competitors who now shift health costs to the taxpayer to offer

coverage."

In the United States as a whole, according to the EPI study, the number of

Americans without health insurance rose by over six million, from 39.8 million

in 2000 to 45.8 million in 2004. This increase was due primarily to the

precipitous decline in employer-provided health coverage for workers and their

families.

No state in the Union experienced a statistically significant increase in

employer-sponsored health-insurance coverage. The states with the largest

declines, all over six percent were Maryland, Maine, Missouri, North Carolina,

and Wisconsin.

In the U.S. workers among the bottom 20 percent of hourly wage earners

were the least likely to have employer-provided coverage; 24.4 percent of the

bottom quintile were covered compared to 77.5 percent for workers in the

highest wage quintile.

However, no category of workers was insulated from the loss of coverage.

Even full-time, full-year workers and workers with a college degree

experienced declines in coverage between 2000 and 2004. Full-time, full-year

workers' coverage rates fell by 2.3 percentage points and college graduates'

coverage rates fell by 2.8 percentage points.

"These data demonstrate that the economy isn't delivering for families,

due to out of date policies, strong productivity growth is not translating

into a better life for Pennsylvania's families," said Price.

The EPI briefing paper Prognosis Worsens for Workers' Health Care, by

Elise Gould can be found on the EPI Web site at http://www.epinet.org.

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