Senator Eliot Shapleigh - El Paso, Texas

WASHINGTON – American workers – whose taxes pay for massive government health programs – are getting squeezed like no other group by private health insurance premiums that are rising much faster than their wages.

While just about all retirees are covered, and nearly 90 percent of children have health insurance, workers now are at significantly higher risk of being uninsured than in the 1990s, the last time lawmakers attempted a health care overhaul, according to a study to be released today.

The study for the Robert Wood Johnson Foundation found that nearly 1 in 5 workers is uninsured, a statistically significant increase from fewer than 1 in 7 during the mid-1990s. The problem is cost. Total premiums for employer plans have risen six to eight times faster than wages, depending on whether individual or family coverage is picked, the study found.

"The thing I think is interesting is how many workers are newly uninsured," said Lynn Blewett, director of the State Health Access Data Assistance Center at the University of Minnesota, which conducted the research.

"In the last couple of years, we've seen a deterioration of private health insurance."

About 20.7 million workers were uninsured in the mid-1990s. A decade later, it was 26.9 million, an increase of about 6 million, the study found.

In the 1990s, there were eight states with 20 percent or more of the working age population uninsured. Now there are 14. Texas was on both lists.

If anything, the situation for workers appears to be worse than is reflected in the report. It analyzed census data through 2007, the latest year available. But that was before the economy tumbled into recession.

Yet workers continue to pay the bill for covering others. Their payroll taxes help support Medicare, which covers the elderly. Income taxes and other federal and state levies pay for covering the poor and the children of low-income working parents. But government provides little direct assistance to help cover workers themselves.

"There really aren't safety-net programs for adults," Blewett said.

The study comes as the Obama administration is scrambling to maintain support for a health care overhaul this year in the face of record federal deficits. A program like President Barack Obama's, which would commit the nation to coverage for all, is estimated to cost about $1.5 trillion over 10 years. Yet the U.S. health care system, already the world's costliest, is also considered one of the most wasteful.

"I don't think we can delay action beyond this year," said Dr. Risa Lavizzo-Mourey, president of the Johnson Foundation, which sponsored the study and provides extensive financing for health care research. "It's clear that we are at the brink."

For the Ramer family of Denver, Iowa, it's already too late. Husband Jim, a truck driver for a road-building company, died of a heart attack in 2005 at the age of 59. He was uninsured and trying to cope with diabetes, a chronic disease that requires prescription drugs and follow-up medical care to control.

His wife, Cindy, 58, works full time caring for mentally disabled people as a certified nursing assistant. But the nursing home that employs her canceled its medical coverage several years ago because it had become too expensive. Ramer is now uninsured and hasn't had a regular checkup in about three years. Instead, she goes to health fairs for bone-density measurements and other screening tests.

"I don't think it's fair that I'm caring for people and helping them with their health care, and I don't have adequate, affordable health care of my own," said Ramer. "I'm not asking for a handout. I'm just asking for something I can afford and won't have all these restrictions that they'll cover this and won't cover that." Ramer says she can afford to pay about $100 to $150 a month.

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