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More narrowly, two limitations apply to this paper’s estimates for 2004 through 2006. First, the NCHS has not yet published final death rates for 2005 or either preliminary or final death rates for 2006. This paper’s estimates of excess mortality for 2005 and 2006 accordingly apply NCHS’s preliminary death rates for 2005.

Second, the Census Bureau’s count of the number of uninsured in 2004 and subsequent years differs from prior

years because of a Census Bureau revision to the assignment of dependent coverage on the CPS. This discontinuity necessarily affects the mortality estimates in this paper, since the Census Bureau has not released modified versions of its pre-2004 data. However, this revision lowered the estimated number of uninsured adults age 25–64 by less than 1 percent. The discontinuity for this particular population accordingly does not appear large.

The Census Bureau made a larger correction to the assignment of dependent coverage on the CPS in March 2007 and released modified estimates of uninsurance based on this correction for all years covered in this report, which this paper incorporates. Accordingly, the Bureau’s more recent and larger correction is fully reflected in all the analysis presented here.


Ayanian, J.Z., B.A. Kohler, T. Abe, and A.M. Epstein. (1993). “The Relation Between Health Insurance Coverage and Clinical Outcomes among Women with Breast Cancer.” New England Journal of Medicine 329(5): 326–31.

Ayanian, J.Z., J.S. Weissman, E.C. Schneider, J.A. Ginsburg, et al. (2000). “Unmet Health Needs of Uninsured Adults in the United States.” Journal of the American Medical Association 284(15): 2061–69.

Dor, A., J. Sudano, and D.W. Baker. (2006). “The Effect of Private Insurance on the Health of Older, Working Age Adults: Evidence from the Health and Retirement Study.” Health Services Research 41(3), Part I: 759–87.

Hadley, J., and T. Waidmann. (2006). “Health Insurance and Health at Age 65: Implications for Medical Care Spending on New Medicare Beneficiaries.” Health Services Research 41(2): 429–51.

Huttin, C., J.F. Moeller, and R. S. Stafford. (2000). “Pattern and Costs for Hypertension Treatment in the United States.” Clinical Drug Investigation 20(3): 181–95.

Institute of Medicine. (2002). Care Without Coverage: oo Little, oo Late. Washington, DC: National Academy Press.

Keeler, E.B., R.H. Brook, G.A. Goldberg, C.J. Kamberg, et al. (1985). “How Free Care Reduced Hypertension in the Health Insurance Experiment.” Journal of the American Medical Association 254(14): 1926–31.

McWilliams, J.M., A.M. Zaslavsky, E. Meara, and J.Z. Ayanian. (2004). “Health Insurance Coverage and Mortality among the Near-Elderly.” Health Affairs 23(2): 221–33.

Roetzheim, R.G., N. Pal., C. Tennant, L. Voti, et al. (1999). “Effects of Health Insurance and Race on Early Detection of Cancer.” Journal of the National Cancer Institute 91(16): 1409–15.

Roetzheim, R.G.,, E.C. Gonzalez, J.M. Ferrante, N. Pal, et al. (2000). “Effects of Health Insurance and Race on Breast Carcinoma Treatments and Outcomes.” Cancer 89(11): 2202-2213.

Shen, J.J., and E.L. Washington. (2007). “Disparities in Outcomes Among Patients with Stroke Associated with Insurance Status.” Stroke 38: 1010–16.

Fish-Parcham, C. (2001). Getting Less Care: The Uninsured with Chronic Health Conditions. Washington, DC: Families USA Foundation.

Kronick, R. (2003). “Commentary.” Medical Care Research and Review 60(2 Suppl.): 100S–112S.

Fowler-Brown, A., G. Corbie-Smith, J. Garrett, and N. Lurie. (2007). “Risk of Cardiovascular Events and Death—Does Insurance Matter?” Journal of General Internal Medicine 22(4): 502–507.

Lee-Feldstein, A., P.J. Feldstein, T. Buchmuller, and G. Katterhagen. (2000). “The Relationship of HMOs, Health Insurance, and Delivery Systems to Breast Cancer Outcomes.” Medical Care 38(7): 705–18.

Franks, P., C. M. Clancy, and M. R. Gold. (1993). “Health Insurance and Mortality: Evidence from a National Cohort.” Journal of the American Medical Association 270(6): 737–41.

McDavid, K., T.C. Tucker, A. Sloggett, and M.P. Coleman. (2003). “Cancer Survival in Kentucky and Health Insurance Coverage.” Archives of Internal Medicine 163: 2135–44.

Sorlie, P.D., N.H. Johnson, E. Backlund, and D.D. Bradham. (1994). “Mortality in the Uninsured Compared with that in Persons with Public and Private Health Insurance.” Archives of Internal Medicine 154: 2409–16.

Uninsured and Dying Because of It: Updating the Institute of Medicine Analysis on the Impact of Uninsurance on Mortality


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