Challenges Faced by Seriously Ill Individuals in America

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The seriously ill in America are high utilizers of health care services, experiencing medical issues, mental health conditions, and long-term disabilities. They often face emotional problems, financial burden, and have reported issues with their health care providers. This data sheds light on the struggles and consequences faced by individuals dealing with serious illnesses in the United States.


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  1. Exhibit 1 The seriously ill are high utilizers of health care Care utilization by the seriously ill 62% 57% 26% Hospitalized overnight more than five times in past three years Saw five or more doctors in past three years Currently taking five or more prescription drugs Source: The Commonwealth Fund/The New York Times/Harvard T.H. Chan School of Public Health, Being Seriously Ill in America Today, July 6 Aug. 21, 2018.

  2. Exhibit 2 The seriously ill experience medical issues, mental health conditions, and long-term disabilities Medical and health conditions among the seriously ill 62% 27% 26% 19% 18% 14% Heart disease, heart failure, or heart attack Diabetes Cancer Stroke Anxiety or depression Long-term disability Note: Time period is past three years. Long-term disability defined as having a disability which kept seriously ill adult from participating in work, school, housework, or other activities. Cancer does not include skin cancer. Source: The Commonwealth Fund/The New York Times/Harvard T.H. Chan School of Public Health, Being Seriously Ill in America Today, July 6 Aug. 21, 2018.

  3. Exhibit 3 The seriously ill have emotional problems and other consequences resulting from illness In recent years, the seriously ill reported the following as a result of their medical or health condition . . . 62% 53% 51% 48% 29% 26% Felt anxious, confused, helpless Wanted to work but unable to Unable to do job as well as before Led to emotional or psychological problems Lost job or had to change job Problem caring for dependent family member Source: The Commonwealth Fund/The New York Times/Harvard T.H. Chan School of Public Health, Being Seriously Ill in America Today, July 6 Aug. 21, 2018.

  4. Exhibit 4 The seriously ill report problems with their health care When getting care from a doctor/hospital staff for their medical or health condition, the seriously ill reported the following as a problem . . . 31% 29% 23% 23% 22% 21% Experienced serious medical error(s) Hospital staff not responsive to needs Sent for duplicate tests/diagnostic procedures Received conflicting recommendations from health professionals Understanding what health insurance covers Understanding doctor bill Source: The Commonwealth Fund/The New York Times/Harvard T.H. Chan School of Public Health, Being Seriously Ill in America Today, July 6 Aug. 21, 2018.

  5. Exhibit 5 The seriously ill face many problems because of the financial burden of illness In recent years, the seriously ill reported the following as a result of dealing with medical or health condition . . . 37% 31% 27% 23% Used up all or most of savings Contacted by a collection agency Unable to pay for basic necessities Costs of care placed major burden on family Source: The Commonwealth Fund/The New York Times/Harvard T.H. Chan School of Public Health, Being Seriously Ill in America Today, July 6 Aug. 21, 2018.

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