Death by Uninsurance

More
Thumbnail image for 3329028351_8b88e9fc17.jpg

A new Harvard study estimates that lack of health insurance kills about 45,000 Americans annually, which is 2.5 times as many as the previous best estimate commonly cited in the health care debate. This is a big difference (27,000 additional lives). But it still pales in comparison with the more than one million Americans who die annually by their own hands--which they use to light cigarettes, lift forks and convey too many alcoholic beverages to their lips.

That so many die as the result of behavioral causes is no argument against universal health coverage, and the new Harvard study bolsters the case for covering everyone, which I suspect we could do just by harvesting some of the incredible waste in the system today. But the vast loss of life associated with bad habits does suggest that we could do vastly more good by changing people's behavior, whether by exhortation, better education or sumptuary taxes.

Tobacco offers a promising precedent; smoking is down by something like half since mid-century, as I recall, and while this has contributed (perhaps significantly) to our national weight gain, on net this reduction in smoking has saved many lives and much suffering and expense. Further reductions in tobacco, as well as an assault on over-eating and unhealthy foods, might produce similarly large gains.

A pdf of the study is here (it's quite brief) and an even briefer essay on the whole subject, from the Wall Street Journal, can be found via my earlier Atlantic posting about the devastation we inflict on ourselves by our unhealthy lifestyles. There is vast room for improvement in this area, and progress in it could be a major force for reducing our runaway health-care costs--not to mention saving the lives of so many of our fellow citizens. President Obama has rightly called on students to work harder in school. Why not rally the rest of us to save ourselves from early death?

(Photo: Flickr User Siege N. Gin)

Jump to comments
Presented by

Daniel Akst

Dan Akst is a journalist, essayist and novelist who wrote three books. His novel, The Webster Chronicle, is based on the lives of Cotton and Increase Mather. More

Dan Akst is a journalist, novelist and essayist whose work has appeared frequently in The New York Times, The Wall Street Journal, The Boston Globe, Wilson Quarterly, and many other publications.
Get Today's Top Stories in Your Inbox (preview)

A Delightful, Pixar-Inspired Cartoon About the Toys in Your Cereal Box

The story of an action figure and his reluctant sidekick, who trek across a kitchen in search of treasure.


Elsewhere on the web

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register. blog comments powered by Disqus

Video

Juice Cleanses: The Worst Diet

A doctor tries the ever-popular Master Cleanse. Sort of.

Video

Why Did I Study Physics?

Using hand-drawn cartoons to explain an academic passion

Video

What If Emoji Lived Among Us?

A whimsical ad imagines what life would be like if emoji were real.

Video

Living Alone on a Sailboat

"If you think I'm a dirtbag, then you don't understand the lifestyle."

Feature

The Future of Iced Coffee

Are artisan businesses like Blue Bottle doomed to fail when they go mainstream?

Writers

Up
Down

More in Business

Just In