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The Health Care Views and Experiences of Rural Americans: Findings from the Kaiser Family Foundation/Washington Post Survey of Rural America

Appendix A: Personal Experiences with Health Care Access and Cost in Rural Areas

Table A1: Usual Source of Care in Rural Areas by Insurance Status, Race/Ethnicity, and Income
AMONG THOSE IN RURAL AREAS: Today, what kind of place, if any, do you usually go when you are sick or when you need advice about your health? Total Rural Insurance Status Race/Ethnicity Income
Insured Ages 18-64 Uninsured Ages
18-64
White Black Hisp. <$20K $20K-
$49.9K
$50K-
$74.9K
$75K+
A hospital emergency room/No usual place of care (NET) 17% 15% 49% 15% 33% 29% 31% 18% 10% 12%
A hospital emergency room 7 7 14 4 26 10 16 7 1 2
No usual place of care 11 8 35 11 7 19 15 11 9 10
A neighborhood clinic or health center 27 31 32 27 21 36 32 26 32 23
A private doctor’s office 52 51 14 54 43 33 36 49 58 62
Some other place 3 3 4 3 2 1 1 6 <1 2
Don’t know/Refused 1 <1 2 <1 1 2 0 <1 0 1
Table A2: Affordability of Health Care Costs in Rural Areas by Insurance Status, Race/Ethnicity, and Income
AMONG THOSE IN RURAL AREAS: In general, how easy or difficult is it for you to afford to pay your family’s health care costs?* Total Rural Insurance Status Race/Ethnicity Income
Insured Ages 18-64 Uninsured Ages
18-64
White Black Hisp. <$20K $20K-
$49.9K
$50K-
$74.9K
$75K+
Easy (NET) 50% 54% 18% 53% 30% 31% 33% 44% 53% 73%
Very easy 20 23 7 21 14 9 12 17 20 38
Somewhat easy 30 31 11 32 16 22 21 27 32 36
Difficult (NET) 48 46 76 45 69 67 63 55 47 25
Somewhat difficult 24 23 27 23 29 40 24 30 26 16
Very difficult 24 23 49 22 40 27 39 26 20 9
Don’t know/Refused 2 1 6 2 1 2 4 1 1 2
*Question wording included “including the cost of insurance and any other costs you have to pay out of your own pocket” for those who are insured
Table A3: Postponing Needed Care in Rural Areas by Insurance Status, Race/Ethnicity, and Income
AMONG THOSE IN RURAL AREAS: In the past 12 months, have you or another family member living in your household skipped or postponed getting any type of health care you needed, including doctor visits, prescriptions, dental care, or mental health services? Total Rural Insurance Status Race/Ethnicity Income
Insured Ages 18-64 Uninsured Ages
18-64
White Black Hisp. <$20K $20K-
$49.9K
$50K-
$74.9K
$75K+
Yes, have skipped/ postponed care 37% 39% 61% 37% 39% 41% 45% 42% 42% 25%
Not being able to afford the cost was a reason 28 28 47 28 28 28 33 34 30 17
Not being able to find a doctor or get an appointment was a reason 9 9 16 8 17 11 15 10 10 4
Difficulty traveling to the doctor’s office, clinic, or pharmacy was a reason 7 6 14 5 13 12 14 7 4 1
No, have not skipped/ postponed care 62 61 39 63 60 57 54 58 58 74
Don’t know/Refused <1 <1 0 <1 1 2 1 <1 0 <1

 

Findings Appendix B: How We Defined Rural Areas and Who Lives There

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.