Medical crowdfunding rarely helps those who need it most

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Medical crowdfunding rarely helps those who need it most
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Crowdfunding for medical expenses raises less money than social media would have us believe.

Mississippi, for example, has the highest percentage of population with medical debt and is among the highest in percentage of uninsured, but crowdfunding campaigns there raised the least money of all 50 states. Vermont, on the other hand, raised the most. Its population had one of the lowest percentages of uninsured people and was around the middle of the pack in terms of percentage of population without medical debt.

Only the most successful campaigns are highlighted on social media, giving the impression crowdfunding works, says study coauthor Nora Kenworthy, a public health researcher at the University of Washington in Bothell. But, she says, we need to be more “clear-eyed” about crowdfunding’s limits and the kinds of gaps it fills.

While even the well-off may take a financial hit from a medical catastrophe, “this underscores the need for more comprehensive and equitable security programs for those most in need,” Kenworthy says. Yet even in countries like Canada and the United Kingdom, which have some form of universal health care coverage, studies of crowdfunding highlight significant gaps. In those countries, crowdfunding is often for expenses indirectly related to illness and accidents, such as lost wages, transportation and child-care costs, Kenworthy says.

“Crowdfunding relies heavily on peer networks that typically have similar characteristics, including income, to the campaigner themselves,” says Snyder, who wrote a commentary to accompany the study. “If GoFundMe has data that suggests otherwise, then they have an obligation to make it public.”

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