“An estimated 17,000 children in the United States might have died unnecessarily over nearly two decades because they didn’t have health insurance,” said U.S. News and World Report. “The authors estimated that at least 1,000 hospitalized children died each year simply because they lacked insurance,” said The New York Times.

They’re talking about a Johns Hopkins Children’s Center study [gated, but with abstract]. But between the media hype and the actual study is an enormous chasm that separates fact from fiction. In truth, the authors of the study did not establish that anybody, anywhere, died of any cause whatsoever because of a lack of health insurance.

This is only the latest in a series of ridiculous claims that have been injected into the health insurance debate. What follows is a brief review, some of which has appeared earlier at the Health Affairs blog.

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Also, before you go into mourning too quickly, be aware that when former Director of the Congressional Budget Office (CBO) June O’Neill and her husband Dave used a similar approach they found that the involuntarily uninsured (low-income people) were only 3% more likely to die over a 14-year period than those with health insurance. There was no statistically significant effect on the “voluntarily uninsured” (higher-income people).

That’s not too surprising in light of a RAND study finding. People are receiving appropriate care a little better than half the time when they see doctors. According to RAND, the care patients receive is not affected by whether they are insured or uninsured or by the type of insurance they have. People who are uninsured, of course, may delay seeing a doctor in the first place — because of their lack of insurance. But this problem is unlikely to be solved by enrolling them in Medicaid programs that routinely ration by waiting.

http://healthblog.ncpa.org/does-lack-of-insurance-cause-premature-death-probably-not/