Health care Problems in the IE

Lack or InsuranceLack of accessibility

Who is uninsured in the IE

• As of 2003-lastest stats• 17% of the IE’s non-elderly population does

not have health care coverage• The majority of these adults are employed but

not offer job-based insurance, earn low wages and work for small companies

Race and EthnicityUninsured Insured

58% Latinos 31% Latinos

33% White 53% White

4% Asian 4% Asian

AGEUninsured Insured

21% under 18yrs. 39% under 18

42% are between 18-34 yrs. 22% are between 18-34 yrs.

37% are between 34-64yrs. 39% are between 35-64 yrs.

GenderUninsured Insured

53% male49% male

47% female 51% female

Poverty StatusUninsured Insured

69% are under 200% EPL 38% are under 200% EPL

31% are under 100% EPL 17% are under 100% EPL

38% are between 100-200% EPL21% ate btw 100-200% EPL

Poverty Guidelines for US

2012 Poverty Guidelines for the 48 Contiguous States and the District of Columbia Persons in

family/household Poverty guideline1 $11,1702 15,1303 19,0904 23,0505 27,0106 30,9707 34,9308 38,890

For families/households with more than 8 persons,add $3,960 for each additional person.

Marital StatusUninsured Insured

41% are married 63 % are married

33% are single 19% are single

26% are other 18% are other

Education (Adult & Parents)Uninsured Insured

72% high school or less 45 % high school or less

6% college degree 14 % college degree

CitizenshipUninsured Insured

34% are non citizens 8% are non citizens

66 % are U.S. born or naturalized citizens 92 % are U.S. born or naturalized citizens

Employment Status(Adults)Uninsured Insured

62% are employed 73 % are employed

38 % are unemployed 27 % are employed

Employment Sponsored Insurance (ESI)

Uninsured Insured

83 % are of the working uninsured or eligible for ESI

14 % of the working insured are not offered or eligible for ESI

17 % reject the offer 15 % reject the offer

Self-Reported Health StatusUninsured Insured

36 % very good or excellent health 61% very good or excellent health

41 % good 26 % good

24 % fair or poor 13 % fair or poor

Have Regular Source of CareUninsured Insured

57 % 92 %

Location of usual care

Uninsured Insured

52 % clinic/hospital 25 % clinic/hospital

37 % physician office 73 % physician office

So why is there a problem

Hourly Wages 1 Adult

1 Adult, 1 Child

1 Adult, 2 Children

1 Adult, 3 Children

2 Adults

2 Adults, 1 Child

2 Adults, 2 Children

2 Adults, 3 Children

Living Wage $10.72

$21.24

$24.85

$31.42

$15.75

$19.32

$20.67

$25.43

Poverty Wage $5.21 $7.00 $8.80 $10.60 $7.00 $8.80 $10.6

0$12.40

Minimum Wage $8.00 $8.00 $8.00 $8.00 $8.00 $8.00 $8.00 $8.0

Income less then expenses San Bernardino

Monthly Expenses 1 Adult

1 Adult, 1 Child

1 Adult, 2 Children

1 Adult, 3 Children

2 Adults

2 Adults, 1 Child

2 Adults, 2 Children

2 Adults, 3 Children

Food $242 $357 $536 $749 $444 $553 $713 $904

Child Care $0 $550 $767 $983 $0 $0 $0 $0

Medical $139 $423 $440 $422 $280 $414 $387 $402

Housing $854 $1,108

$1,108

$1,559 $940 $1,10

8$1,108

$1,559

Transportation $285 $555 $639 $686 $555 $639 $686 $698

Other $91 $201 $246 $326 $149 $192 $215 $260

Required monthly income after taxes

$1,611

$3,194

$3,736

$4,725

$2,368

$2,906

$3,109

$3,823

Required annual income after taxes

$19,332

$38,328

$44,832

$56,700

$28,416

$34,872

$37,308

$45,876

Annual taxes $2,957

$5,848

$6,857

$8,654

$4,342

$5,315

$5,691

$7,009

Required annual income before taxes

$22,289

$44,176

$51,689

$65,354

$32,758

$40,187

$42,999

$52,880

Riverside

Monthly Expenses 1 Adult

1 Adult, 1 Child

1 Adult, 2 Children

1 Adult, 3 Children

2 Adults

2 Adults, 1 Child

2 Adults, 2 Children

2 Adults, 3 Children

Food $242 $357 $536 $749 $444 $553 $713 $904

Child Care $0 $550 $767 $983 $0 $0 $0 $0

Medical $139 $423 $440 $422 $280 $414 $387 $402

Housing $854 $1,108

$1,108

$1,559 $940 $1,10

8$1,108

$1,559

Transportation $285 $555 $639 $686 $555 $639 $686 $698

Other $91 $201 $246 $326 $149 $192 $215 $260

Required monthly income after taxes

$1,611

$3,194

$3,736

$4,725

$2,368

$2,906

$3,109

$3,823

Required annual income after taxes

$19,332

$38,328

$44,832

$56,700

$28,416

$34,872

$37,308

$45,876

Annual taxes $2,957

$5,848

$6,857

$8,654

$4,342

$5,315

$5,691

$7,009

Required annual income before taxes

$22,289

$44,176

$51,689

$65,354

$32,758

$40,187

$42,999

$52,885

Typical Wagesoccupational Area Typical

Hourly Wage

Management $50.67

Business and Financial Operations $32.28

Computer and Mathematical $40.66

Architecture and Engineering $40.79

Life, Physical and social Science $32.75

Community and Social Services $22.10

Legal $47.22

Education, Training and Library $25.18

Arts, Design, Entertainment, Sports and Media $24.37

Healthcare Practitioner and Technical $36.19

Healthcare Support $13.37

Protective Service $22.53

Food Preparation and Serving Related $9.28

Building and Grounds Cleaning and maintenance $11.60

Personal care and Services $10.78

Sales and Related $12.94

Office and Administrative Support $16.65

Farming, Fishing and Forestry $9.04

Construction and Extraction $23.55

Installation, Maintenance and Repair $21.63

Production $13.73

Transportation and Material Moving $13.84

National Unemployment rateaccording to data from the U.S. Bureau of Labor Statistics.

Year Jan Feb Mar Apr Ma

y Jun Jul Aug Sep Oct Nov Dec Annual

2003 5.8 5.9 5.9 6.0 6.1 6.3 6.2 6.1 6.1 6.0 5.8 5.7

2004 5.7 5.6 5.8 5.6 5.6 5.6 5.5 5.4 5.4 5.5 5.4 5.4

2005 5.3 5.4 5.2 5.2 5.1 5.0 5.0 4.9 5.0 5.0 5.0 4.9

2006 4.7 4.8 4.7 4.7 4.6 4.6 4.7 4.7 4.5 4.4 4.5 4.4

2007 4.6 4.5 4.4 4.5 4.4 4.6 4.7 4.6 4.7 4.7 4.7 5.0

2008 5.0 4.9 5.1 5.0 5.4 5.6 5.8 6.1 6.1 6.5 6.8 7.3

2009 7.8 8.3 8.7 9.0 9.4 9.5 9.5 9.6 9.8 10.

0 9.9 9.9

2010 9.8 9.8 9.9 9.9 9.6 9.4 9.5 9.5 9.5 9.5 9.8 9.3

2011 9.1 9.0 8.9 9.0 9.0 9.1 9.0 9.0 9.0 8.9 8.6 8.5

2012 8.3 8.3 8.2 8.1 8.2 8.2 8.2 8.1 7.8 7.9 7.8 7.8

2013 7.9 7.7 7.6 7.5 7.6 7.6 7.4 7.3

According t the Sun Newspaper

• California unemployment rate is 9.6 % which is higher than national at 7.3 %

Lack of Health care and poverty has led to

• San Bernardino County • Fourth most obese area in United States• Third highest heart disease rate in state• 71% of school children do not meet fitness

standards• Worst healthy food access in state, with six times

as many unhealthy food retail outlets as healthy• Two-thirds of adults not meeting recommended

physical activity levels

Will the affordable care act help

• God only knows

References

• UCLA Center for Health Policy Research ,California Health Interview Survey: http//www.healthpolicy.ucla.edu/chis/index.html

• Sun Newspaper By Kevin Smith, Staff Writer • Posted: 05/16/13, 9:00 PM PDT | • County of San Bernardino Health

Department:www.sbcounty./gov/dph/public health/programs_services/healthy

References continue

• California Healthcare Foundation:www.chcf,org/cart/presentations/employer-healthbenefits

• Living Wage Calculation for Riverside County,California:http://livingwage.mit.edu/counties/0606.5

• Living Wage Calculation for San Bernardino County,California:http://living wage.mit.edu/counties/0606.4