Does having a health insurance policy that is affordable save lives? From the blog Incidental Economist, J. Michael McWilliams, MD, PhD, assistant professor of health care policy and of medicine at Harvard Medical School and an associate physician in the Division of General Medicine at Brigham and Women’s Hospital, say yes.
An Atlantic Monthly article by Megan McArdle questions whether health insurance coverage saves lives, drawing from a narrow slice of the literature to suggest the beneficial effects of insurance coverage on mortality might be negligible. While it is true these effects have been challenging for researchers to assess accurately, this question deserves more than a selective reading of the literature to inform the public and policymakers properly. Indeed, when reviewed comprehensively and with an understanding of key clinical and methodological nuances, the research to date provides consistent and compelling evidence that health insurance coverage significantly improves health outcomes, particularly for adults with treatable conditions (McWilliams 2009).
How many lives would universal coverage save each year? A rigorous body of research tells us the answer is many, probably thousands if not tens of thousands. Short of the perfect study, however, we will never know the exact number. In the meantime, we can let perfect be the enemy of good. Or we can recognize the evidence to date is sufficiently robust for policymakers to proceed confidently with health care reforms that promise substantial health and financial benefits for millions of uninsured Americans.







