Village Voice, July 13th, 2004
Generation Debt: The New Economics of Being Young
by Solana Pyne

If they're not outright poor as a class, young adults in this country are at least very, very broke. The average collegian graduates with more than $20,000 in debt, headed for a job market where real hourly wages have kept pace with neither inflation nor the cost of living. Young adults are broke in part because of their unprecedented schooling—in the latest census figures, 28 percent of those between 25 and 29 reported holding a bachelor's degree—which promised to pluck them away from the constellation of problems plaguing America's underclass, whether it was trouble with housing or inadequate medical care.

Yet there they are, these latest inheritors of the American dream, lined up in emergency rooms for toothaches and the flu, not because they're having emergencies, but because they don't have health insurance, and emergency rooms, unlike private doctors, are obliged to give them care. Since 1987, the number of uninsured young adults has grown at twice the rate of older adults, even though the demographic itself is shrinking. One-quarter to one-third of adults under 35 went without insurance for all of 2002, the most recent year for which statistics are available—an increase of 1.2 million from the year before. Half were uninsured for some part of 2002. Of the 43.6 million uninsured adults in the U.S., 41 percent are young.

Of all the rationales John Kerry and George Bush will give this year as they stump for their individual visions of helping the nation's uninsured, one of the most pragmatic is that those little plastic cards can make the difference, for a crucial group of consumers, between having a financial parachute and cratering into debt.

Maria Davidson, of Meriden, Connecticut, was 26 and working for low pay with no benefits when her seven-year-old son tried to kill himself. The ambulance took him to Yale-New Haven Hospital. She had no private coverage for herself and her family. Her children were not eligible for public plans, and she wasn't aware of programs that could have covered the hospital expenses. Her son amassed $3,900 in bills that Davidson just couldn't pay. That was nine years ago. By the time the bill was resolved as the result of a lawsuit, she owed, with interest, over $6,000. Collection agencies were garnishing her wages and had put a lien on her condo.

Much of her story is sadly typical. A survey published in May by the Commonwealth Fund, a nonprofit based in New York City, found that of the uninsured between 19 and 29, half had trouble making payments, had been contacted by a collection agency, or had modified their lifestyles to pay off medical bills.

full: http://www.villagevoice.com/issues/0428/pyne.php

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