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Consumer confidence in healthcare drops in August

By Richard Pizzi

The Robert Wood Johnson Foundation Health Care Consumer Confidence Index found that Americans' confidence in their health insurance coverage and access to healthcare dropped slightly in August.

The RWJF Index fell 1.1 points in August to 96.1, down from 97.2 in July.

The RWJF Index is created from data collected by the Surveys of Consumers, with analysis provided by the University of Minnesota's State Health Access Data Assistance Center (SHADAC). The survey evaluates consumer confidence along a spectrum of economic issues including American healthcare.

The August survey saw a continued slide in confidence among seniors who are eligible for Medicare, with their confidence dropping 3.6 points to 103.3 in August. RWJF researchers say confidence among survey respondents in this age group has dropped a combined 14 points over the past two months.

There was also a notable drop in the confidence of young adults in August. The confidence level of adults age 18-34 fell 5.5 points, from 102.3 points in July to 96.8 in August.

"August was a tumultuous time in the healthcare debate, and many Americans were left feeling concerned about the future and confused by all the conflicting information," said Risa Lavizzo-Mourey, MD, president and CEO of the Robert Wood Johnson Foundation. "With Congress back in session, our leaders must reassure the American people that they will work together and in the public's interest to find common ground and reform our broken healthcare system."

The RWJF Index ranges from 0 to 200. The baseline was established at 100 this past spring.

Highlights from the August survey include:

  • More than half of all Americans (52.5 percent) are worried that they will not be able to pay for their future healthcare needs in the event of a serious illness. Additionally, nearly half (48 percent) are worried that they will not be able to afford all the routine healthcare services they need.
  • Fewer than half (43.7 percent) report being worried that they will not be able to afford future prescriptions.
  • More than a quarter (29.7 percent) report being worried that they will go bankrupt from not being able to pay their medical bills.
  • More than a quarter (29 percent) are worried about losing their health insurance at some point in the next 12 months.
  • More than one in five (22.2 percent) of people receiving coverage from public programs are worried about cuts to public programs.
  • More than one in five (21.3 percent) report delaying needed medical care in the past year due to cost. In addition, 21 percent report skipping care due to cost.

"Americans have seen that rising healthcare costs have put them in a position where they are gambling with their health and financial well being by delaying medical care and needed prescriptions," said Lavizzo-Mourey. "If our leaders don't enact responsible reforms that ensure timely access to high-quality care for everyone, consumer confidence in healthcare will continue to drop and fears about the future will increase."

The RWJF Index is comprised of two sub-indices compiled by SHADAC. The Recent Health Cost Barriers Index gauges consumers' recent experiences accessing healthcare because of cost concerns and dropped from 100.8 in July to 100 in August. The Future Health Cost Concerns Index measures consumers' worries about accessing healthcare or health insurance in the future because of cost and dropped by 1.4 points in August to 92.2.

The survey data for the indices are collected from questions added to the Surveys of Consumers written to construct the RWJF Index. The survey items measure access to healthcare, health insurance and future concerns regarding healthcare.

The Survey Research Center at the University of Michigan has conducted the Surveys of Consumers for more than 50 years. The survey's Index of Consumer Expectations is an official component of the Dept. of Commerce's Index of Leading Economic Indicators.

The Robert Wood Johnson Foundation Health Care Consumer Confidence Index is released the third Tuesday of every month.