Inflation and money woes are forcing Americans to delay medical care : Shots

Substitute teacher Crystal Clyburn, 51, doesn’t have health insurance. She got her blood pressure checked at a health fair in Sarasota, Fla.

Stephanie Colombini/WUSF


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Substitute teacher Crystal Clyburn, 51, doesn’t have health insurance. She got her blood pressure checked at a health fair in Sarasota, Fla.

Stephanie Colombini/WUSF

At a health-screening event in Sarasota, Florida, people milled around a parking lot waiting their turn for blood pressure or diabetes checks. The event was held in Sarasota’s Newtown neighborhood, a historically Black community.

Local resident Tracy Green, 54, joined the line outside a pink and white bus offering free mammograms.

“It’s a blessing, because some people, like me, are not fortunate and so this is what I needed,” she said.

Green said she wanted the exam because cancer runs in her family. And there’s another health concern: her breasts are large and cause her severe back pain. A doctor once recommended she get reduction surgery, she said, but she’s uninsured and can’t afford it.

In a recent Gallup poll, 38% of Americans surveyed said they had put off medical treatment last year due to cost, up from 26% in 2021. The new figure is the highest since Gallup started tracking the issue in 2001.

A survey by The Kaiser Family Foundation last summer showed similar results. It found people were most likely to delay dental care, followed by vision services and doctor’s office visits. Many didn’t take medications as prescribed.

The health screening event is part of an ongoing effort provide health services to low-income Floridians who are uninsured. Attendees could have their blood pressure checked or receive screenings for diabetes. A bus also delivered mammogram services.

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The health screening event is part of an ongoing effort provide health services to low-income Floridians who are uninsured. Attendees could have their blood pressure checked or receive screenings for diabetes. A bus also delivered mammogram services.

Stephanie Colombini/WUSF

The neighborhood screening event in Newtown — organized by the non-profit Multicultural Health Institute in partnership with a local hospital and other health groups — is part of an effort to fill in the coverage gap for low-income people.

Tracy Green explained that her teeth are in bad shape too, but dental care will also have to wait. She doesn’t have health insurance or a stable job. When she

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The pandemic has driven many Americans to delay health care : Shots

Hospitals in Idaho, like St. Luke’s Boise Medical Center in Boise, remain full after the summer delta surge pushed many to their limits.

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Hospitals in Idaho, like St. Luke’s Boise Medical Center in Boise, remain full after the summer delta surge pushed many to their limits.

Kyle Green/AP

Last month, Chelsea Titus, a 40-year-old mother of one in Boise, Idaho, needed surgery to relieve severe pain from endometriosis. But hospitals there are so full of unvaccinated COVID-19 patients that doctors told her she’d have to wait.

Nearly 1 in 5 American households has had to delay care for serious illnesses in the past few months, according to a new poll from NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health.

Titus, who works for a tech company from the home she shares with her husband, her daughter and a labradoodle named Winston, previously had surgery for endometriosis in which doctors removed her uterus and one ovary. When the condition flared again in September, the pain was severe.

“Sometimes it feels like I am in active labor,” she says.

Endometriosis affects millions of women in the U.S. when tissue that typically grows inside the uterus also grows outside it.

When the initial medication that Titus received didn’t help, she reached out to her on-call doctor.

“He said, ‘If the hospitals weren’t in the situation they were in, I would have you in for surgery today,’ ” she recalls.

The safety net is gone

The situation in Idaho’s hospitals has become dire. The facilities are so full of mostly unvaccinated COVID-19 patients that many can no longer operate normally. Several hospitals have had to ration care.

Chelsea Titus

Chelsea Titus/Boise State Public Radio


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Chelsea Titus

Chelsea Titus/Boise State Public Radio

Jim Souza, chief physician executive at the largest of Boise’s hospitals, St. Luke’s, describes his institution’s typical high standards of care as the net that allows doctors to perform high-wire medical acts every day.

But now, “the net is gone and the people will fall from the wire,” Souza says.

Idaho has one of the lowest COVID-19 vaccination rates in the United States.

“As cancer clinicians, we’re really frustrated,” says Dr. Dan Zuckerman, medical director for St. Luke’s Cancer Institute.

Zuckerman says his staff has delayed surgery

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