Conceptualising the Lack of Health Insurance Coverage

Health Care Analysis 8 (1):55-64 (2000)
Abstract
This paper examines the lack of health insurancecoverage in the US as a public policy issue. It first comparesthe problem of health insurance coverage to theproblem of unemployment to show that in terms of thenumbers of individuals affected lack of healthinsurance is a problem comparable in importance to theproblem of unemployment. Secondly, the paperdiscusses the methodology involved in measuring healthinsurance coverage, and argues that the current methodof estimation of the uninsured underestimates theextent that individuals go without health insurance. Third, the paper briefly introduces Amartya Sen'sfunctionings and capabilities framework to suggest away of representing the extent to which individualsare uninsured. Fourth, the paper sketches a means ofoperationalizing the Sen representation of theuninsured in terms of the disability-adjusted lifeyear (DALY) measure
Keywords health insurance coverage  unemployment  public policy  measurement of uninsurance  Sen  functionings and capabilities  DALYs
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