Among gunshot survivors, 51-year-old House Majority Whip Steve Scalise is an outlier.
Such victims are more likely to be low-earning black men between the ages of 15 and 24. Scalise, who is white, does however share one fundamental characteristic with these younger men: Being shot means he now has a pre-existing condition in the eyes of health insurers.
For most people, that status could mean more financial suffering under a Republican rollback of the Affordable Care Act.
The ever-increasing ranks of American victims of firearms could face higher insurance costs and less coverage if the ACA is replaced by a bill mirroring those pending in Congress. Survivors could run up against annual or lifetime dollar caps on coverage, which are prohibited under the ACA. That could mean death for some and financial ruin for others, since costs for lifetime care can run into the millions of dollars.
Lower-income survivors, which are the bulk of victims, benefited from expanded state Medicaid coverage in recent years. Some of them could lose their health-care coverage altogether.
The consequences of such changes, according to a report published Thursday by the Brady Campaign and Center to Prevent Gun Violence, is that taxpayers and consumers with private insurance will wind up paying much of the cost for that care.
The gun-control group’s logic? Emergency treatment centers will have to offset debt from uninsured patients by raising prices for those who can pay, and will require “greater contributions from other taxpayer-funded programs at the local and state level, which will result in higher private insurance rates and higher taxes.”
More than 100 Americans survive gunshot violence every day, with close to 1,600 people treated in U.S. trauma centers each week
From 2001 to 2015, there were more than a million non-fatal firearm injuries, according to data from the Centers for Disease Control. More than 100 Americans survive gunshot violence every day, with close to 1,600 people treated in American trauma centers each week, according to the Brady report. Just over the long July 4 holiday weekend, at least 102 shootings took place in Chicago, with 87 survivors, according to the Chicago Tribune. While 34,000 people die from gunshots each year, 81,000 people survive, the Brady report states, and their medical needs can be huge.
Gunshot costs tallied
The bill for initial hospitalization of people with gunshot injuries from 2006 to 2014 averaged more than $730 million annually, according to a 2017 study from Stanford University. The average cost per patient was between $24,000 and $32,000. That doesn’t include rehabilitation, money lost due to not being able to work, the financial impacts on families, or future hospital visits.
Under the ACA the initial hospitalization is covered, as well as follow-up care. Of the gunshot costs tallied in the Stanford study, Medicare covered about 35 percent of the costs and Medicaid about 6 percent, for a total of 41 percent.
The tab for the ongoing health-care costs for gunshot survivors is hard to pin down, in part because one government agency was effectively prohibited from researching the issue.
In 1996, an amendment attached to an appropriations bill cut $2.6 billion from the CDC budget-the amount the agency had spent on firearms-injury research in the prior year.
The amendment from Republican congressman Jay Dickey, a member of the National Rifle Association, stipulated that “None of the funds made available for injury prevention and control at the Centers for Disease Control and Prevention may be used to promote or advocate for gun control.”
“It was a shot across the bow from a Republican-dominated Congress warning people that if you do research in the area of firearm injuries we can make your life miserable and your funding insecure,” said Dr. Mark Rosenberg, who was the director of the CDC’s National Center for Injury Prevention and Control, where gun violence research was being done, at the time. That put government-funded research into how to prevent gun violence into a deep chill.
Additional societal costs that frequently result from gunshot wounds may cost as much as$174 billion annually.
