More evidence that even the insured are having a hard time keeping up with upward spiraling medical costs in the U.S. Jesse Russell reports:

A new report from Brandeis University shows that even individuals with healthcare are having a hard time paying high medical costs. Report author Carol Pryor says a quarter of Americans with health coverage are in debt to providers or have trouble paying bills.

[Pryor]: Insurers are shifting more and more costs to consumers in the form of higher deductibles, higher co-pays. We found that many people even with middle incomes ended up with medical bills that were simply unaffordable for them, bills that they couldn't pay.

According to the report many insured by pass important medical treatment due to high co-pays and deductibles.

Joeletta Akeman of Cleveland says about half of her family's income goes to health care coverage each week-but she can't afford doctor's visits, and has put off needed medical care.

[Akeman]: "Here I'm paying the price to get health care, but not able to use it because of the co-pays and deductibles that you're faced with, and you're really putting off necessary health care that you really should be having."