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Health Insurance is a Family Matter (2002)
Board on Health Care Services (HCS)
Institute of Medicine (IOM)

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91
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Health Insurance is a Family Matter

5
Family Well-Being and Health Insurance Coverage

Family members’ health insurance status, use of health care, and health itself are interrelated. This chapter documents the relationship between parents’ health insurance coverage, access to, and use of health services and their children’s coverage and use of health care. Second, it explores the mechanisms by which the health and attitudes of parents can affect the well-being of other family members, specifically their children’s health and life chances. The Committee’s previous report, Care Without Coverage, demonstrates that uninsured parents are likely to have poorer health than they would if insured. Research presented in the second section of this chapter demonstrates the interrelatedness of the health of family members and the effects of stress on the family as a whole.

PARENTS’ INFLUENCE ON CHILDREN’S ACCESS TO AND USE OF HEALTH SERVICES

Parent’s Role in Obtaining Insurance Coverage for the Family

Finding: Many uninsured children are eligible for, but not enrolled in public programs. More than half of the 8 million children who remain uninsured are eligible for Medicaid or State Children’s Health Insurance Program (SCHIP) coverage.

Finding: Extension of publicly supported health insurance to low-income uninsured parents is associated with increased enrollment among children.

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