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Only some healthcare costs, sometimes, for some people, in some situations.


The vast majority of households don’t have significant uncovered medical expenses.

There’s major issues that become rounding errors on these kinds of statistics. ~0.5% of the US population is incarcerated or homeless. It’s a lot of people and a major issue, but the US population is huge.


Yeah, no.

"But millions of Americans who owe far more than $500 may not benefit — 1 in 4 U.S. adults with health care debt owe more than $5,000, according to a KFF poll conducted for this project; 1 in 8 owe more than $10,000."

https://www.npr.org/sections/health-shots/2022/06/16/1104969...

And this is likely to be a severe undercount. Given that 1 in 4 Americans can't even afford treatment and so they just go untreated rather than take on the debt.

https://www.usnews.com/news/health-news/articles/2024-11-21/...


You’re presumably misreading that, under 1/3 of Americans have any medical debt and of people with medical debt 75% owe less than 5,000$.

Which means under 1/12th of Americans have more than 5,000$ in medical debt and 1/24th owe more than 10k.

That seems like a huge issue, but only 387,721 Americans declared bankruptcy in 2022. The discrepancy is people who get a moderate medical bill often just don’t pay it for years. Until they’re forced to pay, or the statute of limitations runs out and it goes away.


You’re switching units with that quote. It says 1 in 4 adults _with_ health care debt, not 1 in 4 adults of the whole population.

How many Americans have health care debt?


Yes, you're correct. The NPR article does state that it is 1 in 4 adults with debt owe more than 5k.

The article also states:

"Health care debt in the U.S. now affects more than 100 million people, according to a nationwide KFF poll conducted for this project. The toll has been especially high on Black communities: Fifty-six percent of Black adults owe money for a medical or dental bill, compared with 37% of white adults."

The US has a population of ~335 million people. If 100 million people have medical debt, that would be 1 in 3 people. And the census date seems to back that to a point.

https://www.census.gov/library/stories/2021/04/who-had-medic...

The problem with all of these stats are that the definition of debt can change which can swing the number fairly widely. The KFF poll that is referenced by NPR mentions the debt is framed as either actual debt or other forms of debt such as "debt that patients accrue is hidden as credit card balances, loans from family, or payment plans to hospitals and other medical providers." Which means that if this form of debt is the metric that makes sense (I think it does given that the above are all forms of debt), then the percentage of adults is really not 1 in 4, but 1 in 3, which is even more disturbing.


>this form of debt

Taking such an expansive view of debt and things become largely meaningless. You end up defining some billionaires as being in medical debt. Here’s an analysis that ignores debt under 250$ as trivial.

https://www.healthsystemtracker.org/brief/the-burden-of-medi...

“This analysis shows that 20 million people (nearly 1 in 12 adults) owe medical debt. The SIPP survey suggests people in the United States owe at least $220 billion in medical debt. Approximately 14 million people (6% of adults) in the U.S. owe over $1,000 in medical debt and about 3 million people (1% of adults) owe medical debt of more than $10,000.”

But of course that’s a biased survey. ~88 billion of debt that shows up on people’s credit reports suggesting the actual numbers are likely significantly below that estimate.




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