Dueling health insurance stats
Figuring out who has health insurance coverage and who doesn’t is an ongoing challenge for policymakers.
Do you count people who went without coverage for a week or a month as being uninsured? What about the ranks of the long-term uninsured? How many of them might qualify for government programs or subsidies but just haven’t signed up?
It’s not an easy task, which is why today’s story on the numbers of uninsured might shed some light on the issue. The Census Bureau’s American Community Survey, a wide-ranging sample of 3 million households each year, asked a health insurance coverage question for the first time last year. For a look at how the question was asked, check out page 8 of the survey form.
Our analysis of the Census’ ACS estimates showed that about 22 percent of Oklahomans under 65 went without health insurance coverage when they were surveyed last year. That put Oklahoma at No. 5 in the nation for the percentage of residents younger than 65 without health insurance.
Of course, it didn’t help matters that the Census just two weeks ago put out another survey that had information on the uninsured from its long-running Current Population Survey. That survey showed an estimated 15.9 percent of Oklahomans of all ages were without health insurance in the CPS’ 2-year average from 2007 to 2008. (For more discussion of that survey data, see the Oklahoma Policy Institute posting here, and the thoughts from our editorial page here. The journal Health Affairs also has a more detailed discussion of the CPS health insurance estimates here.)
David Blatt, policy director for the Oklahoma Policy Institute, said that no matter which Census survey policymakers use, “I think the true numbers lie somewhere between those estimates. Whatever the number, we have a heck of a lot of Oklahomans without health insurance coverage.”
Researchers are hopeful that the bigger survey sample of the American Community Survey will provide more accurate figures in the future. Here’s how the University of Minnesota’s State Health Access Data Assistance Center, or SHADAC, puts it:
The ACS is a great development for health services researchers, but as with all surveys, it will have its problems. In summary, the greatest advantage is that the ACS will be a regular source of health insurance coverage for local areas. The timely releases will fill a significant information void. The biggest limitation is format of the health insurance item is and the ability of respondents to recognize what type of health insurance coverage they have. Some error is always expected in survey research, and we have yet to see how it will compare to other surveys.
In the meantime, here’s a look at some of the latest uninsured estimates from the Census’ American Community Survey for the Oklahoma counties and Congressional districts covered under the latest 2008 survey data:
Finally, NPR has a nice set of interactive maps using the same data:
–Paul
Mapping swine flu cases
With yesterday’s first confirmed case of the H1N1/swine flu in Oklahoma, that takes to 41 the number of states affected by the worldwide outbreak, according to the Centers for Disease Control and Prevention.
A number of maps tracking the H1NI flu outbreak are already widely available, but the New York Times had an interesting story about how several universities are using data models to predict future infections.
You can see some of the maps by Northwestern University here. (Caution: these are from the “worst-case” scenario.) Researchers there compiled data using several sources, including one that approximates human interactions from the circulation of dollar bills across the country.
Here’s one of their maps:
Meanwhile, researchers at Indiana University came up with many of the same conclusions when they predicted the course of flu infections.
Here’s one of the IU maps:
While we’ve all heard the calls for basic hygiene (vigilant hand-washing; covering your mouth with a tissue when coughing and sneezing) to help curtail the outbreak, this was an important point from one of the professors interviewed in the New York Times article:
But one thing remains true: “People have a very weird perception of large numbers,” (Dirk Brockmann) said. “If you have 2,000 cases of flu in a country of 300 million, most people think they’re going to be one of the 2,000, not one of the 299,998,000.”
(Don’t forget to check out our in-depth Know-It page on the flu.)
–Paul
Search for city stimulus requests
The latest “wish list” of infrastructure projects from mayors across the country was released over the weekend, and 10 Oklahoma mayors have requested $1.7 billion in funds from the economic stimulus package making its way through Congress.
You can read today’s story here.
Also, we compiled more than 220 projects requested in Oklahoma into a database that’s on the Your Right to Know page. You’ll find the link under “Data.”
(I blogged about an earlier version of the list last week.)
–Paul
State restaurant inspections online
With the latest news out of Mayes County that a likely food-borne illness has killed one and sickened dozens of others, you might be curious about how your local restaurants fare in food inspections.
You can look them up by county and/or name at the state’s Food Service Establishment Inspections site. (The link is also under the “Data” section of our own Your Right to Know page.)
While officials haven’t yet figured out what caused the recent illnesses, they also haven’t ruled anything out. The Country Cottage restaurant in Locust Grove was last inspected on Aug. 23, according to the online data. At that time, inspectors found nine violations.
–Paul
Hospital care stats
USA Today has a good story today on the latest mortality statistics of hospitals across the country.
You can search for local hospitals by ZIP code here on the Centers for Medicare & Medicaid Services Web site, although I found USA Today’s interactive map a little easier to use.
A word of caution, though: These mortality stats are just for Medicare patients in the areas of heart attack, heart failure and pneumonia. The stats are from 2006 and 2007.
–Paul
