1. Health care Problems in the IE Lack or Insurance Lack of accessibility

2. Who is uninsured in the IE As of 2003-lastest stats 17% of the IE’s non-elderly population does not have health care coverage The majority of these adults are employed but not offer job-based insurance, earn low wages and work for small companies

3. Race and Ethnicity UninsuredInsured 58% Latinos31% Latinos 33% White53% White 4% Asian

4. AGE UninsuredInsured 21% under 18yrs.39% under 18 42% are between 18-34 yrs.22% are between 18-34 yrs. 37% are between 34-64yrs.39% are between 35-64 yrs.

5. Gender UninsuredInsured 53% male 49% male 47% female51% female

6. Poverty Status UninsuredInsured 69% are under 200% EPL38% are under 200% EPL 31% are under 100% EPL17% are under 100% EPL 38% are between 100-200% EPL 21% ate btw 100-200% EPL

7. Poverty Guidelines for US 2012 Poverty Guidelines for the 48 Contiguous States and the District of Columbia Persons in family/householdPoverty guideline 1$11,170 215,130 319,090 423,050 527,010 630,970 734,930 838,890 For families/households with more than 8 persons, add $3,960 for each additional person.

8. Marital Status UninsuredInsured 41% are married63 % are married 33% are single19% are single 26% are other18% are other

9. Education (Adult & Parents) UninsuredInsured 72% high school or less45 % high school or less 6% college degree14 % college degree

10. Citizenship UninsuredInsured 34% are non citizens8% are non citizens 66 % are U.S. born or naturalized citizens92 % are U.S. born or naturalized citizens

11. Employment Status(Adults) Uninsured Insured 62% are employed73 % are employed 38 % are unemployed27 % are employed

12. Employment Sponsored Insurance (ESI) UninsuredInsured 83 % are of the working uninsured or eligible for ESI 14 % of the working insured are not offered or eligible for ESI 17 % reject the offer15 % reject the offer

13. Self-Reported Health Status UninsuredInsured 36 % very good or excellent health61% very good or excellent health 41 % good26 % good 24 % fair or poor13 % fair or poor

14. Have Regular Source of Care UninsuredInsured 57 %92 %

15. Location of usual care UninsuredInsured 52 % clinic/hospital25 % clinic/hospital 37 % physician office73 % physician office

16. So why is there a problem Hourly Wages 1 Adu lt 1 Adu lt, 1 Chil d 1 Adu lt, 2 Chil dren 1 Adu lt, 3 Chil dren 2 Adu lts 2 Adu lts, 1 Chil d 2 Adu lts, 2 Chil dren 2 Adu lts, 3 Chil dren Living Wage $10.7 2 $21.2 4 $24.8 5 $31.4 2 $15.7 5 $19.3 2 $20.6 7 $25.4 3 Poverty Wage$5.21$7.00$8.80 $10.6 0 $7.00$8.80 $10.6 0 $12.4 0 Minimum Wage$8.00 $8.0

17. Income less then expenses San Bernardino Monthly Expenses 1 Adu lt 1 Adu lt, 1 Chil d 1 Adu lt, 2 Chil dren 1 Adu lt, 3 Chil dren 2 Adu lts 2 Adu lts, 1 Chil d 2 Adu lts, 2 Chil dren 2 Adu lts, 3 Chil dren Food$242$357$536$749$444$553$713$904 Child Care$0$550$767$983$0 Medical$139$423$440$422$280$414$387$402 Housing$854 $1,10 8 $1,55 9 $940 $1,10 8 $1,55 9 Transportation$285$555$639$686$555$639$686$698 Other$91$201$246$326$149$192$215$260 Required monthly income after taxes $1,61 1 $3,19 4 $3,73 6 $4,72 5 $2,36 8 $2,90 6 $3,10 9 $3,82 3 Required annual income after taxes $19,3 32 $38,3 28 $44,8 32 $56,7 00 $28,4 16 $34,8 72 $37,3 08 $45,8 76 Annual taxes $2,95 7 $5,84 8 $6,85 7 $8,65 4 $4,34 2 $5,31 5 $5,69 1 $7,00 9 Required annual income before taxes $22,2 89 $44,1 76 $51,6 89 $65,3 54 $32,7 58 $40,1 87 $42,9 99 $52,8 80

18. Riverside Monthly Expenses 1 Adu lt 1 Adu lt, 1 Chil d 1 Adu lt, 2 Chil dren 1 Adu lt, 3 Chil dren 2 Adu lts 2 Adu lts, 1 Chil d 2 Adu lts, 2 Chil dren 2 Adu lts, 3 Chil dren Food$242$357$536$749$444$553$713$904 Child Care$0$550$767$983$0 Medical$139$423$440$422$280$414$387$402 Housing$854 $1,10 8 $1,55 9 $940 $1,10 8 $1,55 9 Transportation$285$555$639$686$555$639$686$698 Other$91$201$246$326$149$192$215$260 Required monthly income after taxes $1,61 1 $3,19 4 $3,73 6 $4,72 5 $2,36 8 $2,90 6 $3,10 9 $3,82 3 Required annual income after taxes $19,3 32 $38,3 28 $44,8 32 $56,7 00 $28,4 16 $34,8 72 $37,3 08 $45,8 76 Annual taxes $2,95 7 $5,84 8 $6,85 7 $8,65 4 $4,34 2 $5,31 5 $5,69 1 $7,00 9 Required annual income before taxes $22,2 89 $44,1 76 $51,6 89 $65,3 54 $32,7 58 $40,1 87 $42,9 99 $52,8 85

19. Typical Wages occupational Area Typical Hourly Wage Management$50.67 Business and Financial Operations$32.28 Computer and Mathematical$40.66 Architecture and Engineering$40.79 Life, Physical and social Science$32.75 Community and Social Services $22.10 Legal$47.22 Education, Training and Library$25.18 Arts, Design, Entertainment, Sports and Media$24.37 Healthcare Practitioner and Technical$36.19 Healthcare Support$13.37 Protective Service$22.53 Food Preparation and Serving Related$9.28 Building and Grounds Cleaning and maintenance$11.60 Personal care and Services$10.78 Sales and Related$12.94 Office and Administrative Support$16.65 Farming, Fishing and Forestry$9.04 Construction and Extraction$23.55 Installation, Maintenance and Repair$21.63 Production$13.73 Transportation and Material Moving$13.84

20. National Unemployment rate according to data from the U.S. Bureau of Labor Statistics.data Yea r JanFebMarApr Ma y JunJulAugSepOctNovDec Ann ual 200 3 5.85.9 6.06.16.36.26.1 6.05.85.7 200 4 5.75.65.85.6 5.55.4 5.55.4 200 5 5.35.45.2 5.15.0 4.95.0 4.9 200 6 4.74.84.7 4.6 4.7 4.54.44.54.4 200 7 4.64.54.44.54.44.64.74.64.7 5.0 200 8 5.04.95.15.05.45.65.86.1 6.56.87.3 200 9 7.88.38.79.09.49.5 9.69.8 10. 0 9.9 201 0 9.8 9.9 9.69.49.5 9.89.3 201 1 9.19.08.99.0 9.19.0 8.98.68.5 201 2 8.3 8.28.18.2 8.17.87.97.8 201 3 7.97.77.67.57.6 7.47.3

21. According t the Sun Newspaper California unemployment rate is 9.6 % which is higher than national at 7.3 %

22. Lack of Health care and poverty has led to San Bernardino County Fourth most obese area in United States Third highest heart disease rate in state 71% of school children do not meet fitness standards Worst healthy food access in state, with six times as many unhealthy food retail outlets as healthy Two-thirds of adults not meeting recommended physical activity levels

23. Will the affordable care act help God only knows

24. References UCLA Center for Health Policy Research,California Health Interview Survey: http//www.healthpolicy.ucla.edu/chis/index.h tml Sun Newspaper By Kevin Smith, Staff Writer Posted: 05/16/13, 9:00 PM PDT | County of San Bernardino Health Department:www.sbcounty./gov/dph/public health/programs_services/healthy

25. References continue California Healthcare Foundation:www.chcf,org/cart/presentations/ employer-healthbenefits Living Wage Calculation for Riverside County,California:http://livingwage.mit.edu/c ounties/0606.5 Living Wage Calculation for San Bernardino County,California:http://living wage.mit.edu/counties/0606.4