Link Between Medical Debt and Mental Health Care Access Explored

Sat 26th Apr, 2025

Recent research has uncovered a concerning correlation between medical debt and the neglect of mental health care among adults. In a study published in the JAMA Health Forum, it was revealed that over 14% of adults in the U.S. reported having medical debt in 2023. Alarmingly, one-third of those individuals chose to forgo necessary mental health services in the year that followed.

The investigation, led by researchers at the Johns Hopkins Bloomberg School of Public Health, analyzed data collected from 1,821 adults as part of the COVID-19 Life Stressors Impact on Mental Health and Well-Being study. The findings showed that adults burdened with medical debt were significantly more likely to forgo mental health care due to financial constraints, with rates reported at 33.8% compared to just 6.3% among those without such debt.

Moreover, the analysis indicated that the presence of any medical debt was associated with a 17.3 percentage point increase in the likelihood of unmet mental health care needs. This trend underscores the impact of financial stress on individuals' ability to seek and receive mental health support.

Researchers highlighted that while various factors contribute to the unmet needs in mental health care, medical debt poses a unique and critical challenge. It forces individuals to make difficult choices between managing substantial out-of-pocket costs and accessing vital health services. The authors noted that addressing medical debt is crucial and that current policy initiatives aimed at mitigating this issue must be evaluated for their effectiveness in safeguarding mental health care access.

The urgency of understanding the implications of medical debt on mental health care is emphasized, as it poses a significant barrier to those in need of assistance. As policy efforts continue to evolve, there is a pressing need for comprehensive strategies that can alleviate the burden of medical debt and improve access to mental health services.

For further details, refer to the study published in JAMA Health Forum.


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