To the Editor Understanding out-of-pocket spending is critical to understanding health care costs in the United States. We applaud the efforts of Adrion et al1 as an important contribution to understanding the out-of-pocket spending of the commercially insured population younger than 65 years. The commercially insured comprise over 50% of the nonelderly US population and, as demonstrated by Adrion et al, out-of-pocket spending on inpatient services can be substantial.2
Frost A, Barrette E. A Perspective on Out-of-Pocket Spending. JAMA Intern Med. 2017;177(1):139–140. doi:10.1001/jamainternmed.2016.7685
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