50 Million Uninsured: The Faces Behind the Headlines Rachel Garfield, PhD Senior Researcher and Associate Director Kaiser Commission for Medicaid and the Uninsured for Alliance for Health Reform Washington, DC October 14, 2011

FIGURE 1 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 % (Subsidies) 400%+ Private Non-Group Medicaid* Employer-Sponsored Insurance Uninsured 266 M Nonelderly

FIGURE 2 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 Data may not total 100% due to rounding. SOURCE: KCMU/Urban Institute analysis of 2011 ASEC Supplement to the CPS.

FIGURE 3 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 4 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 CoverageFamily Coverage $2,689 $5,429 $15,073 $7,061

FIGURE 5 400% FPL and Above Characteristics of the Nonelderly Uninsured, 2010 The federal poverty level was $22,050 for a family of four in 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 Workers % FPL <100% FPL % FPL Children Parents Adults without Dependent Children

FIGURE 6 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 AR AZ 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 7 Access to Care by Health Insurance Status, 2010 In past 12 months Questions about dental care were analyzed for children age 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. ChildrenNonelderly Adults

FIGURE 8 Faces of the Uninsured Will Wilson, 57 Chicago, IL Margie Barlow, 38 Kalama, WA Stephanie Shimko, 28 Ft. Lauderdale, FL Chicago Tour Guide Uninsured for 10 years Living with AIDS Unemployed Children covered by Medicaid $30,000 of medical debt Teacher & Grad Student Spends $400/month out of pocket to pay for diabetes drugs