Episode

Miranda Yaver, "Coverage Denied: How Health Insurers Drive Inequality in the United States" (Cambridge UP, 2026)

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Exchanges: A Cambridge UP Podcast
Published
Apr 30, 2026
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3420
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Summary

Miranda Yaver’s new book, Coverage Denied: How Health Insurers Drive Inequality in the United States (Cambridge UP, 2026), has lots of examples and incidents that will seem quite familiar to anyone who has dealt with health insurance coverage in the United States. In a sense, this book speaks to everyone because we have all been in situations like the ones that Yaver hears about from her interviewees. We know what it is like to have a test or a scan or a prescription ordered by a medical professional for us only to have an insurance company tell us that we cannot have that test or scan or medicine. Yaver dives into this quagmire and unearths the constellations of causes and reasons why this is now the essential operating process for much of American health insurance. By unpacking these causes and reasons, Coverage Denied clarifies so many of our experiences and helps us to think about the myriad ways in which health insurers and health insurance contribute to inequality in the United States, across a range of dimensions including race, socio-economic position, gender, sexuality, ability, and more. Part of what Yaver’s research finds is that very few individuals appeal coverage denials with their insurance companies. The question becomes one of who is denied coverage or tests or prescriptions, and who is going to try to access the means for getting those denials reversed. This is part of the administrative burden that is not equally distributed, given different economic, disability, employment, and family situations. Thus, the appeals process is part of the driver of inequality in terms of healthcare and healthcare coverage. The findings also note that women are more likely to be denied coverage than are men, in part because women often make more use of healthcare tha…