Gaps in health coverage among working-age Americans and the consequences

J Health Care Poor Underserved. 2001 Aug;12(3):272-89. doi: 10.1353/hpu.2010.0739.


This paper examines health coverage and access to care among working-age adults using the Kaiser/Commonwealth 1997 National Survey of Health Insurance. One in three (52 million) working-age adults were either uninsured at the time of the survey or had a recent gap in their health coverage in the past two years. Having even a temporary gap in health coverage made a significant difference in access to care. Compared to the elderly, who are continuously covered by Medicare, working-age adults have greater problems paying their medical bills and gaining access to care and are less satisfied with their health insurance coverage.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Health Benefit Plans, Employee / statistics & numerical data
  • Health Services Accessibility / economics
  • Health Services Accessibility / statistics & numerical data*
  • Humans
  • Insurance Coverage
  • Insurance, Health / statistics & numerical data*
  • Interviews as Topic
  • Male
  • Medically Uninsured / statistics & numerical data*
  • Middle Aged
  • Social Class
  • United States