The Atlanta Journal-Constitution
Georgia and other Southern states have faced some of the nation's biggest spikes in health insurance premiums in recent years, far outpacing family income growth, a recent study shows.
From 2003 to 2009, insurance premiums for Georgia families jumped 48 percent on average from $8,641 to $12,792, compared with a 41 percent hike nationally, according to a report by The Commonwealth Fund, a nonprofit that focuses on health care policy.
Meanwhile, incomes have failed to keep up with premium increases, the study shows.
Nationwide, premiums made up more than one-fifth of median household incomes for people under the age of 65 in 10 states, many of them in the South and south central U.S., where incomes tend to be lower, according to data from the Medical Expenditure Panel Survey. In Georgia, the average premium accounted for 18.9 percent of median household income in 2009.
“The effect this has had, especially during these difficult economic times, is to force families to trade off wages for benefits or make other difficult choices to balance their family budgets,” Karen Davis, The Commonwealth Fund president, said in an e-mail.
Rising health care costs are also a major problem for entrepreneurs and small business owners, who are finding it increasingly unaffordable, said Ken Thorpe, a health policy professor at Emory University.
“You’re seeing fewer of them offer coverage over time,” he said.
Insurance costs are explicitly linked to what employers are able to pay their workers, said Tim Sweeney, a health care policy analyst with the Georgia Budget and Policy Institute.
“They have to decide where to put their money,” Sweeney said. "Employees want that health coverage.”
Overall increases in insurance costs are also closely tied to the widespread growth of chronic illnesses, such as diabetes and obesity, Thorpe said. Chronic illnesses in adults tend to be more prevalent in the South, compared with Colorado, California or other Western states, where there are often healthier food choices and people are generally more active, he said.
Unless something is done about the growth in chronic illnesses, it’s going to be difficult to get insurance costs down, Thorpe said. “That’s a real challenge moving forward,” he added.