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More than 160 million Americans receive health insurance through employers, the principal source of coverage for people under 65.
The government says 9 million beneficiaries have coverage from other sources, leaving perhaps 4.5 million without a known source of coverage.
A more equitable approach must be found so that treatment decisions for all rest on medical need, not source of coverage.
"We're getting a lot of feedback about Patch being the only source of coverage about local road closings and power outages," Mr. Webster said.
Medicare will become more valuable as a source of coverage, and legislators should be pressed to improve it because those reaching retirement will, I hope, realize that they are vulnerable.
"There's been a lot of debate about what health reform is going to do to employer-sponsored coverage," he said, but much of that discussion ignores the significant decline in employers as a source of coverage.
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Consumers or states could then be left in the lurch, seeking other sources of coverage.
The errors, she said, occurred in complicated cases involving large families with different sources of coverage.
"There has to be competition within the delivery system," said David H. Klein, the chief executive of the powerful Excellus BlueCross BlueShield in Rochester, a nonprofit insurer that is one of the major sources of coverage in that market.
But it has fallen short in providing subsidies to low-income Americans, in protecting people from high out-of-pocket costs and in matching the benefits offered by other private and public sources of coverage.
Medical insurance status was obtained by asking participants to indicate all sources of coverage from the following options: Medicare, Medicaid, private and/or other ("insured") or uninsured.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com