Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

This chart explains why Americans are so angry about health care

And why they’re becoming more open to the idea of single-payer.

Let’s talk about a very important chart.

It came out earlier this week as part of the Kaiser Family Foundation’s annual look at employer-sponsored health insurance. And I think it does a lot to explain why Americans are frustrated with our health care system — and why they’re becoming more open to the idea of moving to single-payer.

This chart shows that, over the past decade, the size our insurance deductibles have skyrocketed. Deductibles have grown by 212 percent since 2008 — eight times faster than wage growth, and 12 times faster than inflation.

Here’s that data put another way, which looks at the actual dollar size of American deductibles.

Just a decade ago, the average American with employer-sponsored coverage had a deductible of $303. Flash forward just one decade, and that number now sits at $1,350.

What this means is that Americans who do need medical care are being asked to spend significantly more to get it. There is a growing number of Americans who have to spend more than $1,000 on medical bills before their health insurance coverage kicks in.

These are the people I often hear from in my project on emergency room billing, which has collected hundreds of bills from across the country. In the past, these people probably wouldn’t have been as angry about their medical bills. If they had a low deductible, the actual price of care wouldn’t matter. The health insurance would kick in immediately, likely leaving the patient with a reasonable copayment

But that isn’t the case anymore. As deductibles rise, patients are increasingly finding themselves on the hook for the actual price of medical care. This includes patients like Bradley Sroka, who I wrote about earlier this year after his daughter’s short visit to the emergency room where she received antibiotic ointment left the family with a $937 bill. The family was on the hook for the entire bill because they were still within their insurance plan’s deductible.

These charts showing a rise in deductibles, I think, have a lot to do with this other chart: one showing a slow, steady rise in American support for a single-payer style health care system.

Over the same time period that we’ve seen deductibles skyrocketing, we’ve also seen support for a national health care plan slowly rising. To me, that doesn’t seem to be a coincidence: When Americans are confronted with actual health care prices — and when they find those prices to be unaffordable — it makes sense that more would begin to support a massive change to the system.

This story appears in VoxCare, a newsletter from Vox on the latest twists and turns in America’s health care debate. Sign up to get VoxCare in your inbox along with more health care stats and news.

Join the conversation

Are you interested in more discussions around health care policy? Join our Facebook community for conversation and updates.

More in Politics

Podcasts
The Supreme Court abortion pills case, explainedThe Supreme Court abortion pills case, explained
Podcast
Podcasts

How Louisiana brought mifepristone back to SCOTUS.

By Peter Balonon-Rosen and Sean Rameswaram
Politics
Trump’s China policy is nearly the exact opposite of what everyone expectedTrump’s China policy is nearly the exact opposite of what everyone expected
Politics

As Trump heads to China, attention and resources are being shifted from Asia to yet another war in the Middle East.

By Joshua Keating
Politics
Are far-right politics just the new normal?Are far-right politics just the new normal?
Politics

Liberals are preparing for a longer war with right-wing populists than they once expected.

By Zack Beauchamp
The Logoff
Flavored vapes doomed Trump’s FDA headFlavored vapes doomed Trump’s FDA head
The Logoff

Why Marty Makary is out at the FDA, briefly explained.

By Cameron Peters
Politics
Virginia Democrats’ irresponsible new plan to save their gerrymanderVirginia Democrats’ irresponsible new plan to save their gerrymander
Politics

Democrats just handed the Supreme Court’s Republicans a loaded weapon.

By Ian Millhiser
The Logoff
Can Trump lower gas prices?Can Trump lower gas prices?
The Logoff

What suspending the gas tax would mean for you, briefly explained.

By Cameron Peters