Welcome  to  Public  Health  moment from  the  University  of  Minnesota. Studies  have  shown  that  uninsured  children have  less  access  to  health  care  services. But  what  about  children  with  insurance  that carries  expensive  out  of  pocket  costs? That's  what  University  of  Minnesota  Assistant Professor  Pinar  Karachi  Mandi  wanted  to  learn. She  recently  published  a  study  in the  Journal  of  the  American  Medical  Association that  looked  at  children  with  asthma. Of  course,  insurance  makes  it  easier for  patients  to  access  health  care. However,  there  has  been  a  trend  to  increasing  out  of pocket  payments  that  patients  and families  make  studies  on. The  adults  have  shown  that  people  often  respond to  this  by  foregoing  necessary  health  care. Racha  Mandi  found  that  children  of  parents who  pay  more  out  of  pocket  costs  use their  asthma  control  medication  less  often and  have  more  asthma  related  hospitalizations. We  found  that  among  children  aged  five  to  18  years, children  whose  families  paid  more  out  of  pocket towards  asthma  control  medications use  their  medications  less  often. And  at  the  same  time  these  children  were more  likely  to  get  hospitalized  for  asthma. We  didn't  find  this  effect  for  younger  children, which  perhaps  reflects  that parents  are  less  sensitive  to  costs for  these  younger  children whose  asthma  is  typically  more  severe  for  public  health. Moment.  I'm  Mark  a  Breton.