Health study is more bad news for Oklahoma's uninsured

By Don Mecoy
Published: June 26, 2008

One in three Oklahomans has no health coverage, giving the state the highest rate of uninsured residents in the nation.

The Southwest has the lowest rate of health insurance coverage in the country, according to a government survey released Wednesday.

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The survey, the first by the Centers for Disease Control and Prevention to compare health coverage rates in different regions, confirms earlier studies that have shown Oklahoma ranking near the bottom in the nation.

One woman's struggle
For one 61-year-old Oklahoma City resident, who asked not to be identified by name, a lack of health insurance has forced her to take desperate measures to find relief for the pain in her arthritic knees.

The woman signed up for a drug study to get medication.

She didn't learn what medicine she had been taking until the study was complete, but "it helped some,” she said. She lost her insurance coverage after a divorce and after leaving the work force to care for grandchildren.

She is seeking government disability payments, although she would prefer to work. Her physical ailments and age make it difficult for her to find gainful employment, she said.

"This is all so foreign to me,” she said. "I hate freeloaders. I've worked my whole life.”

State Insurance Commissioner Kim Holland said the drumbeat of repeated surveys showing Oklahoma ranking poorly in health insurance and the general health of its population may prompt needed action.

Tired of being the worst
"I'm tired of being worst in the nation in terms of such a fundamentally important issue as the health and health care of our citizenship,” Holland said. "If this isn't a call to action to do whatever we must do and can do to make sure our citizens have access to high-quality health care and affordable health insurance, I don't know what is.”

Robin Cohen, the lead researcher, declined to theorize why Oklahoma, Arizona, New Mexico and Texas together have higher rates of uninsured people than other areas.

But another expert said it likely comes from a combination of factors, including state policy decisions and the fact that many jobs in the Southwest are service, construction or other jobs without good health benefits.

The Southwest has a large American Indian population served by the Indian Health Service. The Indian Health Service was not counted as a form of insurance, in keeping with definitions used in other health insurance studies. But even if it had been counted as coverage, the Southwest still would have had the highest uninsurance rates, Cohen said.

"There are substantial inequities in coverage depending where you live, and they seem to be getting worse,” said Ken Thorpe, a health policy researcher.

Holland said the health of Oklahoma's population has become an economic development issue.


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"paul, nothing you said changes the fact that you're a loser that can't figure out how to leave Oklahoma. Are you not your own man?
Justin, Oklahoma City - Jun 26, 2008 12:11 PM"...Justin, nothing you said changes the fact that the state is in a deplorable condition either. Shall I explain what "deplorable" means for you??
paul, yukon - Jun 26, 2008 6:09 PM
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GS, Norman - Jun 26, 2008 1:20 PM
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Yeah! Howard Johnson is right. Ooops that was from the town meeting in Blazing Saddles. Sorry. But anyway I think several of you have solved this problem. We should leave the state. I am encouraging my kids to leave and will follow them when they move out.
GS, Norman - Jun 26, 2008 1:19 PM
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paul, nothing you said changes the fact that you're a loser that can't figure out how to leave Oklahoma. Are you not your own man?
Justin, Oklahoma City - Jun 26, 2008 12:11 PM
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Thats right I forgot...God forbid an Okie actually took responsibility for the mess they've created for themselves...let's point the fingers at "The outsiders" and blame them instead....
paul, yukon - Jun 26, 2008 10:57 AM
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See..this is what irks me when I hear that blathering drivel about the "cheaper cost of living" that Okie's supposedly enjoy. If the "cheaper cost of living" is so good, why does Okie rank dead last in this area, why does Okie have so many people in poverty, why are so many kids going to bed hungry each night, and so on?" Why? Because your "cheap cost of living" is actually a "cheap standard of living", thats why. Great, in Oklahoma you can get a cheaper house than the rest of the country, but you also have to pay tax on food, suffer from poor health care, suffer from poor education, poor roads and bridges,a bankrupt state, the list goes on and on. Don't blame me for my beyotching about the condition of this state, blame the people who have remained complacent for years and years to put yourselves into this position, you have nobody to blame but yourselves...
paul, yukon - Jun 26, 2008 10:56 AM
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Paul, how do we know that you are not one of those heavy smokers and are obese/overweight. This problem goes beyond the lack of health insurance and is more about quality health care that is available state wide and not just in the metro areas.
JH, deep red creek - Jun 26, 2008 10:49 AM
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"Insurance companies are predators...no doubt. But 90% of the patients in Oklahoma hospitals either a) smoke...or b) are obese/overweight. We don't have a health problem...we're just f'ing stupid.
Nathan, Norman - Jun 26, 2008 9:23 AM"...A VERY accurate statement Nathan....but it wouldn't matter if health care was almost free in this state, people would still be fat(read that grossly OBESE) and would still smoke like chimneys...it's just easier for them that way. Why get in shape and maybe not need a doctor so much? Why quit smoking?"...they'd rather place the blame on anybody but themselves, and I'd bet that better than half of the people who are negative against me are either fat, or smokers, or both. No reason to have any personal responsibility in this as long as there's somebody to point a finger at....right Okies??
paul, yukon - Jun 26, 2008 10:22 AM
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Paul, put the wheels back on your home and get outta here.
OK, Lahoma - Jun 26, 2008 9:30 AM
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Insurance companies are predators...no doubt. But 90% of the patients in Oklahoma hospitals either a) smoke...or b) are obese/overweight. We don't have a health problem...we're just f'ing stupid.
Christopher, Bartlesville - Jun 26, 2008 9:23 AM
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I rear that things will only get worse. With gas prices and grocery prices going up, many families may be faced with the choice of paying their insurance premiums, or buying food for their children. Something is definitely broken here. Oh, and Paul: If you dislike Oklahoma so much, why don't you just leave? Or be quiet; one of the two.
Cindy, Norman - Jun 26, 2008 9:14 AM
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The questions that come to mind with this article are, do we choose between auto insurance, which is required by state law and we can get large fines without it, possibly jail; or homeowners' insurance, because we know we cannot rely on FEMA to help anyone when a home or a town is wiped out by natural disasters; or do we choose health insurance, when we are not sick all the time and gamble that nothing goes wrong. Most of the uninsured are slightly above the poverty level for public assistance and are hard working Oklahomans that are not willing to quit working to qualify for this help. They work hard every day, help their neighbors and are good to their families. They just cannot afford medical insurance and are wiped out financially when something does happen. Perhaps we do need better state regulations regarding affordable medical insurance and billing.
Robin, Edmond - Jun 26, 2008 9:01 AM
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Paul, like the shark who smells blood in the water, any article that places Oklahoma at the bottom of a list, you seem to be the first to strike...interesting...but with a change coming in the top administrative post in our country..all who are not covered will be through universal health care..but will we be able to find a doctor to care for us?
JH, deep red creek - Jun 26, 2008 7:54 AM
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I wish I could say it was not the fault of insurance companies. But I believe the fault is with the employer and insurance companies together. My previous employer had Blue Cross. Even though the employer paid $800 per month for each employee, all Blue Cross did was deny anything I had ever turned in like checkups, labs, prescriptions, diagnostics, and everything else. It was a policy of Blue Cross to challenge everything. That was 3 years ago and I am still getting bills from those service providers. My new employer offers coverage but at unbelievable high rates. Its like, "Sure, you can get insurance through us, but be ready to spend 1/2 your paycheck for it." They offered sage advice for opting out of the insurance plan. They told us to get all our prescriptions turned into the $4 Walmart program. We should call a free 800 # nurse triage line instead of rushing to the doctor. We should only visit urgent care facilities instead of an E.R. If we did get referred to any diagnostic, we should not accept the service the doctor offers but go home and google the service and call every provider to price shop. So, yes Daily Oklahoman, health care in Oklahoma is a joke from my point of view.
Sparky (Mark), Oklahoma City - Jun 26, 2008 7:31 AM
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Once again, we are seeing the fruits of our labor to protect the insurance industry. By preventing all but the common cold from being covered, most citizens do not see the need to purchase health care insurance. The real issue is not the uninsured, it is the underinsured that are becoming the uninsured by choice. Low cost insurance is just that, low cost, but most conditions and many illnesses are not covered.
Robyne, Edmond - Jun 26, 2008 7:14 AM
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Who would ask your help for anything, paul? You're a miserable loser that is unable to leave a state you can't stand. It seems you have your own problems.
Justin, Oklahoma City - Jun 26, 2008 7:03 AM
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Those pesky people at the Centers for Disease Control, singling out Oklahoma as the worst in the nation....how dare they? Make sure you Oklahomans who like to defend this dismal state get on here and tell me about how the figures are skewed, or better yet, ask me what I'm doing to make life better for you yokels who choose not to do it for yourselves....
paul, yukon - Jun 26, 2008 6:30 AM
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