Uninsured adults with chronic conditions or disabilities: gaps in public insurance programs
- PMID: 19843552
- PMCID: PMC6661108
- DOI: 10.1377/hlthaff.28.6.w1141
Uninsured adults with chronic conditions or disabilities: gaps in public insurance programs
Abstract
Among nonelderly U.S. adults (ages 25-61), uninsurance rates increased from 13.7 percent in 2000 to 16.0 percent in 2005. Despite the existence of public insurance programs, rates remained high for low-income people reporting serious health conditions (25 percent across years) or disabilities (15 percent). Residents of southern states had even higher rates (32 percent with health conditions, 22 percent with disabilities). Those who did not belong to a federally mandated Medicaid eligibility category were about twice as likely as others to be uninsured overall, and uninsurance among this group increased more rapidly over time. These regional and categorical differences reflect gaps in current policy that pose challenges for incremental health reform.
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Fronstin reports that uninsurance rates for those under 65 grew from 15.9% in 1994 to 17.9% in 2006. Our figures are lower because we exclude those under 25 and 62–64.
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Roughly 30 states have established high-risk pools to make insurance available to otherwise uninsurable individuals, but the premiums are typically very high. See
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