should have access to comprehensive, quality, and affordable health care.
here to download this factsheet in .pdf format)
For people struggling to pay the rent, a serious illness or disability
can start a downward spiral into homelessness, beginning with a lost job,
depletion of savings to pay for care, and eventual eviction.
- Over 41 million Americans have no health care insurance (U.S. Bureau
of the Census).
- Nearly a third of persons living in poverty have no health insurance
of any kind.
- The coverage held by many others will not carry them through a catastrophic
- The number of uninsured persons seeking treatment is increasing: overall,
Health Care for the Homeless programs report a 35% increase in the numbers
of their patients who are uninsured (O'Connell, J., Lozier, J., and
Gingles, K., 1997).
Homelessness severely impacts health and well-being. The rates of
acute health problems are extremely high among people experiencing homelessness.
- With the exception of obesity, strokes, and cancer, people experiencing
homelessness are far more likely to suffer from every category of severe
- Conditions which require regular, uninterrupted treatment, such as
tuberculosis, HIV/AIDS, diabetes, hypertension, addictive disorders,
and mental disorders, are extremely difficult to treat or control among
those without adequate housing.
- Housing is the first form of treatment for people experiencing homelessness
with medical problems, preventing many illnesses and making it possible
for those who remain ill to recover. Lack of affordable housing makes
it more difficult for people to recover.
Children without housing experience numerous health problems that
impact their development.
- Children without a home are in fair or poor health twice as often
as other children, and have higher rates of asthma, ear infections,
stomach problems, and speech problems (Better Homes Fund, 1999).
- They also experience more mental health problems, such as anxiety,
depression, and withdrawal. They are twice as likely to experience hunger,
and four times as likely to have delayed development.
- In New York City, 61% of children without housing had not received
their proper immunizations (compared to 23% of all New York City two-year-olds).
- 38% of children in New York City's shelter system have asthma (an
asthma rate four times that for all New York City children).
- In New York City, children without housing suffer from middle ear
infections at a rate that is 50% greater than the national average (Redlener
and Johnson, 1999).
- These illnesses have potentially devastating consequences if not treated
Universal access to affordable, high-quality and comprehensive health
care is essential in the fight to end homelessness. A health insurance
system could reduce homelessness and, more significantly, help to prevent
future episodes of homelessness.
Better Homes Fund. Homeless Children: America's New
Outcasts, 1999. Available, free, from the Better Homes Fund, 181 Wells
Avenue, Newton Centre, MA 02159; 617/964-3834.
O'Connell, J., Lozier, J., and Gingles, K. Increased
Demand and Decreased Capacity: Challenges to the McKinney Act's Health
Care for the Homeless Program, 1997. Available from the National Health
Care for the Homeless Council, P.O. Box 68019, Nashville, TN 37206 8019;
Redlener, Irwin, MD and Dennis Johnson. Still in Crisis:
The Health Status of New York's Homeless Children, 1999. Available
from The Children's Health Fund, 317 East 64th Street, New York, NY 10021;
U.S. Bureau of the Census 2002. Available at www.census.gov.
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