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Occupational disease and workers' compensation: coverage, costs, and consequences.

Authors
Leigh-JP; Robbins-JA
Source
Milbank Q 2004 Dec; 82(4):689-721
NIOSHTIC No.
20029443
Abstract
Most of the costs of occupational disease are not covered by workers' compensation. First, the authors estimated the deaths and costs for all occupational disease in 1999, using epidemiological studies. Among the greatest contributors were job-related cancer, chronic respiratory disease, and circulatory disease. Second, the authors estimated the number of workers' compensation cases, costs, and deaths for 1999, using data from up to 16 states representing all regions of the country. Unlike the epidemiological studies that emphasized fatal diseases, the workers' compensation estimates emphasized nonfatal diseases and conditions like tendonitis and hernia. Comparisons of the epidemiological and workers' compensation estimates suggest that in 1999, workers' compensation missed roughly 46,000 to 93,000 deaths and 8 billion US dollars to 23 billion US dollars in medical costs. These deaths and costs represented substantial cost shifting from workers' compensation systems to individual workers, their families, private medical insurance, and taxpayers (through Medicare and Medicaid). Designing policies to reduce the cost shifting and its associated inefficiency will be challenging.
Keywords
Occupational-health; Medical-care; Health-care; Outpatient-facilities; Diseases; Demographic-characteristics; Men; Women; Statistical-analysis; Occupational-diseases
Contact
Department of Public Health Sciences, School of Medicine, TB 168, University of California at Davis, Davis, CA 95616-8638
CODEN
MIQUES
Publication Date
20041201
Document Type
Journal Article
Email Address
pleigh@ucdavis.edu
Funding Type
Grant; Agriculture; Cooperative Agreement
Fiscal Year
2005
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-007338; Cooperative-Agreement-Number-U50-OH-007550
Issue of Publication
4
ISSN
0887-378X
Source Name
Milbank Quarterly
State
CA
Performing Organization
University of California - Davis
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