mortality rates

Greater stress and anxiety resulting from economic insecurity may be at least partly to blame for the U.S. death rate that the government announced Dec. 8 has increased for the first time in a decade, says an expert on poverty and inequality at Washington University in St. Louis.

The urban legends about managed care convey a sense that managed care often leads to early death. However, the business methods employed by managed care frequently result in reduced cost for the companies and the individuals enrolled in the programs. Because of the potential savings, the trend has been to encourage Medicare enrollees to use managed care programs. A recent study by a professor in the business school Washington University in St. Louis and a colleague suggests that it’s not managed care that increases mortality; it’s lack of drug coverage. The study suggests that a one percent increase in the number of people enrolled in Medicare Managed Care without drug coverage would result in an additional 5,100 deaths among the elderly population of the United States in one year.