I want to focus not on the pros and cons of the bill, but on one of the least insured demographics: young people under the age of 26. This demographic is one of the least insured for a variety of reasons, including: unable to get coverage on parents’ policy, unable to get affordable coverage at new jobs, unable to get immediate coverage at new jobs (a sort of trial period to make sure you’re sticking with the company), and even young people’s sense of invincibility (I’m healthy, so why bother with insurance when I have a dozen other bills to pay?). Under the new law, persons under the age of 26 can be on their parents’ health care policy even if they are no longer attending school.
This change is huge for me because I graduated two years ago, I have not yet found full time employment with health care benefits, and my parents’ policy won’t cover adult children (is that an oxymoron?) who are no longer in school. The new bill, for me, means I can go to the doctor without paying for the whole visit out of my own pocket. But it also means that I’m still dependent on my parents.
The change to allow adult children coverage on their parents’ health insurance raises some interesting questions about when children are no longer children? When do we get to be adults?
Here are some common rights of passage into adulthood:
- The freedom of a driver’s license at 16 (in Minnesota, it’s older in some states)
- The opportunity to have a voice in government by voting at 18
- The honor and duty of serving one’s country through military service at 18
- The (sometimes foolishly) fun thrill of gambling our first dollar at 18 (in Minnesota, it’s 21 in some states)
- The satisfaction and responsibility that comes with our first legal alcoholic drink at 21
And what about being considered an adult in the church? Once you’ve had your confirmation or bar/bat mitzvah you have adult status in your faith – and that can be as early as 13!
Is having one’s own health care coverage a new right of passage into adulthood? Are we destined to be not quite full-fledged adults until we’re 26? Is someone who starts working full time right after high school and gets his own health insurance more of an adult than someone who goes to college or even gets his career started while remaining on his parent’s coverage?
I’ve always thought of myself as a fairly mature and independent person – someone who could take care of herself without mom and dad’s help by early adolescence. But all this talk about defining when a child becomes an adult has me wondering when I’ll ever be considered an adult in the eyes of the majority?
Obviously adulthood and becoming an adult is a process, and for some people the process is longer than others. The length of the process is affected by not only one’s personal maturity level and personal motivation (picture the 35 year old living in his parent’s basement eating Cheetos and watching Wrestlemania), but also by social norms, economic stability, and government mandate.
I’ll tackle government mandate first: by law you can and cannot do certain things until you reach a certain age (see the first rights of passage list above). Done.
Social norms and economic stability are ever-changing factors, and thus are a little harder to define and impose on a vast majority. So I’m going to make some generalizations here, but please don’t take them as the be-all-end-all definitions.
Let’s consider getting married and having kids. Back in the day it was normal for couples to get married right after high school and start having kids. Now, with opportunities like college and a more socially acceptable attitude towards birth control and cohabitation before marriage, a lot of couples don’t get married until their late 20s or 30s. As I said, this is not a be-all-end-all definition – I have several friends under the age of 25 who are married and own homes. This is where economic stability comes in. My friends who are already married (or planning to marry soon) have at least one person in the relationship with a stable income.
In discussing this topic with older friends and relatives, they said they can remember aunts and uncles or other relatives who, after getting married and in some instances after having kids, where forced to move back in with a parent because they couldn’t afford to live in their own home. Were these distant relatives any less of adults because they lived at a parent’s home? Am I any less of an adult than my married friends because in six months I’ll more than likely be back on my parents’ insurance policy?
The new law mandates that insurance companies must allow persons under the age of 26 coverage on their parents’ health insurance, but young people don’t have to accept that coverage. Some will take the coverage because economically it makes sense. What about the social acceptability of the matter? Not that 25-year-olds are going to broadcast to the world that they are insured by their parents (or maybe they will on Twitter). But it’s hard to reconcile with one’s self the complexity of being dependent children when in so many other areas of our lives we are independent adults.
A long time ago a young man may have entered adulthood at 18 by leaving the family farm, getting married, and settling into a new life of his own. Nowadays, it’s much more complicated and it seems adulthood is indefinable, at least not by making one age or life event the mile marker for everyone. Just because you can vote or go to a bar, doesn't mean you are a fully independent or fully mature adult. Everyone reaches adulthood on their own time.
So is 26 really the age when most young people are able to reasonably afford their own health insurance? What if my career doesn’t take off (or for that matter start) until I’m 25 or 26? Will I be able to afford “adult health insurance”? Should the government or for that matter insurance agencies mandate when individuals can afford their own insurance? I guess we’ll see in the next couple of years how much this health care reform really does for allowing us kids to become economically responsible adults.