should be thoughtfully contrasted with a different approach, which would use a relative threshold or a relative burden as opposed to a more absolute standard, which would say that a high burden is when out-of-pocket spending on medical care and/or premiums drops you below that subsistence level. That approach is more embedded in the SPM.

The National Academies of Sciences, Engineering, and Medicine
500 Fifth St. N.W. | Washington, D.C. 20001

Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement