50 Million Uninsured: The Faces Behind the Headlines

Rachel Garfield, PhDSenior Researcher and Associate Director

Kaiser Commission for Medicaid and the Uninsured

for

Alliance for Health ReformWashington, DC

October 14, 2011

FIGURE 2

Health Insurance Coverage of the Nonelderly, 2010

* Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related coverage. The federal poverty level for a family of four in 2010 was $22,050. Numbers may not add to 100 due to rounding. SOURCE: KCMU/Urban Institute analysis of 2011 ASEC Supplement to the CPS.

<139% (Medicaid)

Federal Poverty Level

139-399% (Subsidies)

400%+

Private Non-Group

Medicaid*

Employer-Sponsored Insurance

Uninsured

266 M Nonelderly

FIGURE 3

Health Insurance Coverage of the Nonelderly by Poverty Level, 2010

FPL= Federal Poverty Level. The FPL was $22,050 for a family of four in 2010. Data may not total 100% due to rounding. SOURCE: KCMU/Urban Institute analysis of 2011 ASEC Supplement to the CPS.

FIGURE 4

Median Medicaid/CHIP Eligibility Thresholds, January 2011

SOURCE: Based on the results of a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured and the Georgetown University Center for Children and Families, 2011

Minimum Medicaid Eligibility under Health Reform 133% FPL ($24,353 for a family of 3 in 2010)

FIGURE 5

Average Annual Premium Costs for Covered Workers, 2001 and 2011

Family coverage is defined as health coverage for a family of four. SOURCE: Kaiser/HRET Employer Health Benefits Survey, 2011

Single Coverage Family Coverage

$2,689

$5,429

$15,073

$7,061

FIGURE 6

400% FPL and Above

Characteristics of the Nonelderly Uninsured, 2010

The federal poverty level was $22,050 for a family of four in 2010. Data may not total 100% due to rounding. SOURCE: KCMU/Urban Institute analysis of 2011 ASEC Supplement to the CPS.

Total = 49.1 million uninsured

1 or More Full-Time Workers

No Workers

Part-Time Workers100-250%

FPL

<100% FPL

251-399% FPL

Children

Parents

Adults without

Dependent Children

FIGURE 7

WY

WI

WV

WA

VA

VT

UT

TX

TN

SD

SC

RI PA

OR

OK

OH

ND

NC

NY

NM

NJ

NH

NV NE

MT

MO

MS

MN

MI

MA

MD

ME

LA

KY KS

IA

IN IL

ID

HI

GA

FL

DC

DE

CT

CO CA

ARAZ

AK

AL

>18% percent (18 states)

14-18% Uninsured (21 states and DC)

<14% Uninsured (11 states)

Uninsured Rates Among the Nonelderly by State, 2010

SOURCE: KCMU/Urban Institute analysis of 2011 ASEC Supplement to the CPS.

FIGURE 8

Access to Care by Health Insurance Status, 2010

In past 12 monthsQuestions about dental care were analyzed for children age 2-17. All other questions were analyzed for all children under age 18. MD contact includes other health professionals. Respondents who said usual source of care was the emergency room were included among those not having a usual source of care. All differences between the uninsured and the two insurance groups are statistically significant (p<0.05).SOURCE: KCMU analysis of 2010 NHIS data.

Children Nonelderly Adults

FIGURE 9

Faces of the Uninsured

Chicago Tour GuideUninsured for 10 years

Living with AIDS

UnemployedChildren covered by Medicaid

$30,000 of medical debtTeacher & Grad Student

Spends $400/month out of pocket to pay for diabetes

drugs