In the United States, caring for a child with special health care needs usually means higher medical expenses for a family - particularly for low-income families, who spend a disproportionally large share of their income on their child's care. Yet the amount of financial burden for these families also depends on their state of residence, according to Paul T. Shattuck, PhD, professor of social work at Washington University in St. Louis [Pediatrics, 124: S435-S442].
"The percentage of low-income families in a given state with out-of-pocket expenses that exceeded 3 percent of their income varied considerably according to state and ranged from 5 percent to 25. 8 percent (District of Columbia and Montana, respectively). Families living in states with more generous Medicaid and State Children's Health Insurance Program (SCHIP) benefits report less financial burden," Dr. Shattuck said.
