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Passing the Buck to Mom and Dad

New York Times Editorial                                                                                 September 27, 2006 

Many middle-class young adults are staying on their parents’ health insurance long after college these days. It’s an interesting trend. But in no way is it a solution to the growing problem of the uninsured. If anything, it is a stopgap measure that helps the more fortunate while sapping the political will for sweeping change.

With 47 million Americans uninsured, the nation’s health system is in crisis. More and more people are seeking treatment in emergency rooms because they have nowhere else to go. By one estimate, unpaid hospital bills have reached $45 billion annually, raising the cost of health insurance by 8.5 percent for those who are insured.

Among the uninsured are more than a quarter of adults between ages 18 and 34. As Jennifer Lee reported recently in The Times, states are responding to the problem with legislation to allow children to stay on their parents’ health insurance longer. New Jersey is one of eight states that have passed such a "piggyback" statute just since 2003.

College graduates in fields like media and computer technology are at the leading edge of the changing American economy, where the individual carries the bulk of the risk. For young American workers, benefits have become negotiable rather than part of the social contract. Many end up opting out of health insurance entirely, choosing to wager on their relative good health to avoid spending the hundreds of dollars a month that self-insuring can cost.

But the troubled American health-insurance system finds itself in a vicious circle as a result. The higher premiums climb (twice as fast as wages this year, according to a new study), the less likely the young and healthy are to participate. That, in turn, skews the pool of the insured even older and more infirm, making coverage still more expensive and less appealing to those who bet they can do without.

The families that can best afford to take advantage of the piggyback laws are those that could already pay for separate coverage anyway. And these laws, by making life easier for those who have the most political influence and resources, reduce elected officials’ incentive to do what is really needed and find a more comprehensive national solution.


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