Skip to main content

Sign up for our newsletter.

Quality journalism. Progressive values. Direct to your inbox.

For Immediate Release


Clare Fauke, communications specialist, 312-802-2302,

Press Release

New Comprehensive Review Finds That Recent Studies Strengthen Conclusions of Landmark 2002 National Academy of Medicine Report Implicating Uninsurance in Thousands of Deaths.


Being uninsured substantially raises the risk of dying, according to a comprehensive review of studies published today in the Annals of Internal Medicine. The review updated a 2002 study conducted by the Institute of Medicine (IOM - now called the National Academy of Medicine) that concluded that 18,000 persons died each year from lack of health insurance.
The authors carried out an intensive search for all research examining whether health insurance coverage affects overall mortality among adults age 18-64. They found that multiple studies published since the completion of the IOM study have confirmed that insurance lowers mortality. They cite consistent findings from a randomized trial carried out in Oregon, as well as multiple quasi-experimental and observational studies. The studies indicate that insurance decreases the odds of dying among adults by at least 3% and as much as 29%.
The authors conclude that health insurance prevents deaths at least in part by improving the diagnosis and treatment of high blood pressure. The review cites results from several studies, including randomized trials, showing that uninsured and under-insured Americans are less likely to have their hypertension diagnosed; that insurance leads to lower and safer blood pressure levels; and that eliminating financial barriers to hypertension care dramatically decreases all-cause mortality. Studies have also shown that lack of coverage increases death rates in many other conditions, including breast cancer and major trauma.
Dr. Steffie Woolhandler, lead author of the article who is an internist in the South Bronx, Distinguished Professor of Public Health at the City University of New York at Hunter College (CUNY) and lecturer in medicine at Harvard noted: “In order to justify policies that strip coverage from millions, Republicans like Sen. Ted Cruz and Rep. Raúl Labrador claim that health insurance doesn't save lives. But overwhelming scientific evidence says they're wrong. Thousands of people are already dying each year because the Affordable Care Act (ACA) has left 28 million uninsured. The Republican health reform bills would increase that death toll.”
Study co-author Dr. David Himmelstein commented: “According to the CBO, the Senate Republicans’ plan would strip coverage from 22 million Americans. The best estimate based on scientific studies is that about 29,000 Americans would die each year as a result. We need to move forward from the ACA to a single payer reform that would cover all Americans, not backwards through repeal.” Dr. Himmelstein, like Dr. Woolhandler, is an internist, Distinguished Professor at CUNY and lecturer at Harvard.

The Relationship of Health Insurance and Mortality: Is Lack of Insurance Deadly?” by Steffie Woolhandler, M.D., M.P.H. and David U. Himmelstein, M.D. Annals of Internal Medicine. Published online, June 26, 2017. The Annals of Internal Medicine is the official journal of the American College of Physicians.
Disclosures: Drs. Woolhandler and Himmelstein co-founded Physicians for a National Health Program (, a nonprofit educational and research organization that supports a single-payer national health plan; they also served as advisers to Sen. Bernie Sanders’ presidential campaign. Neither the Sanders campaign nor PNHP played any role in funding or otherwise supporting the commentary. They tweet @shadowingTrump.


Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.

'We Aren't Bluffing': Progressives Hold the Line as Pelosi Moves Ahead With Bipartisan Bill

"If we don't pass our agenda together—that's infrastructure AND paid leave, child care, climate action, and more—then we're leaving millions of working people behind."

Jake Johnson ·

160 Patient Advocates Demand Medicare Negotiation in Build Back Better Package

"We're confident that inclusion of comprehensive drug pricing reforms in the reconciliation package will lower prices, save lives, and ensure continued development of innovative new drugs."

Jessica Corbett ·

'Cartoonish Level Corrupt': As Dems Fight for Bold Agenda, Sinema to Fundraise With Its Corporate Opponents

"Sinema is setting her political future on fire," said one Democratic organizer. "If she doesn't change course drastically and soon, it will be too late."

Brett Wilkins ·

'Momentous Win': Years of Local Opposition Defeats PennEast Pipeline

Opponents in Pennsylvania and New Jersey cheer "cancellation of this unneeded, dangerous fracked gas pipeline."

Jessica Corbett ·

Amid Calls for Closure, House Dems Urge NYC Officials to End 'Inhumane Conditions' at Rikers

A dozen prisoners have died this year alone at the notoriously violent and overcrowded jail complex.

Brett Wilkins ·

Support our work.

We are independent, non-profit, advertising-free and 100% reader supported.

Subscribe to our newsletter.

Quality journalism. Progressive values.
Direct to your inbox.

Subscribe to our Newsletter.

Common Dreams, Inc. Founded 1997. Registered 501(c3) Non-Profit | Privacy Policy
Common Dreams Logo