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.
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4 Issues in the Development of Thresholds ."
Medical Care Economic Risk: Measuring Financial Vulnerability from Spending on Medical Care . Washington, DC: The National Academies Press,
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