Residents of the Twin Cities Region experienced healthcare affordability burdens at rates similar to the other regions of Minnesota. All told, nearly half (45%) of Twin Cities Region adults experienced one or more of the following healthcare affordability burdens in the prior 12 months.
1.) Being Uninsured Due to High Premium Costs
2.) Delaying or Foregoing Healthcare Due to Cost
Well over one-third (38%) of Twin Cities Region adults who needed healthcare during the year encountered one or more cost-related barriers to getting that care. In descending order of frequency, they reported:
Cost was far and away the most frequently cited reason for not getting needed medical care, exceeding a host of other barriers like transportation, difficulty getting an appointment, lack of childcare and other reasons.
Of the various types of medical bills, the ones most frequently associated with an affordability barrier were dental care, doctor bills and prescription drugs, likely reflecting the frequency with which Twin Cities Region adults seek these services—or, in the case of dental, lower rates of coverage for these services.
3.) Many Who Received Care Struggle to Pay the Resulting Medical Bill
Nearly one-quarter (23%) of Twin Cities Region adults experienced one or more of these struggles to pay their medical bills:
Residents of the Twin Cities Region also exhibited high levels of worry about affording healthcare in the future. In descending order, respondents were “worried” or “very worried” about: affording nursing home and home care services (66%); costs when elderly (63%); health insurance becoming too expensive (62%); cost of a serious illness or accident (59%); prescription drug costs (49%); and losing health insurance (28%).
Twin Cities Region residents were extremely dissatisfied with the health system: Just 27% agreed or strongly agreed with the statement “We have a great healthcare system in the U.S.,” while 83% agreed or strongly agreed “the system needs to change.”
Respondents see a role for themselves in solving healthcare affordability problems. They reported actions they have already taken, like researching the cost of drug beforehand (37%), as well as future actions—60% believe that taking better care of their personal health is one of the top things they can do personally to address affordability.
But in far greater numbers they see a role for their elected representatives. The following strategies received support across party lines, including (Total/Republican/Democrat/Neither):
The high burden of healthcare affordability, along with high levels of support for change, suggest that elected leaders and other stakeholders need to make this consumer burden a top priority. Annual surveys can help assess whether or not progress is being made.
Note: For survey methodology and state-wide data, see www.HealthcareValueHub.org/Minnesota-2019-Healthcare-Survey.