Churning Isn’t Just for Butter Anymore

by Donna Smith

It isn’t often anymore that I learn a new word in the health care system discussion, but this week I did.  Churning.  I was at a meeting here in Colorado where I have taken on a new role in advocating and administering for a publicly financed, universal, single-payer system with Health Care for All Colorado.  And the definition of churning I learned is a sad commentary on a system that still allows access to care based on inequality of coverage that leaves so (Photo: Health Care for All Oregon via Flickr)many people suffering and tens of thousands dying in America every year.

Churning is the policy wonk term for those who qualify and are covered by a public program like Medicaid and who then have access to a private insurance plan through a new job that offers it or through a family member’s coverage but who then lose that coverage and end up back on the public insurance for which they qualify.  They churn.  And they suffer.