For healthcare providers, the relevant measure of the number of uninsured is the number of patients who lack insurance when they need services. Hospitals classify patient accounts as either charity care (no payment is expected after the patients’ inability to pay is determined) or as a bad debt (efforts to secure payments prove unsuccessful). Determination of eligibility from some social programs based on demographic is quite clear. On key to insurance coverage is employer sponsorship. Although employer sponsored health benefits are still the norm, changes in the employment market and the cost of healthcare coverage have eroded this base. Although those in the lowest-income-level jobs are less likely to be insured, the group with the greatest recent increase in the number of uninsured persons is composed of the working middle class adults. Approximately half of uninsured working persons are employed by firms that do not offer coverage (Smith, 2008). In order to create an ideal U.S. health insurance systems we must examine our current system and the aspects that play a major role in the percentage of the uninsured.
In America,
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