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Affordability Is the Issue Now, But Look for the Uninsured to Make a Comeback

A new column on the uninsured from President and CEO Dr. Drew Altman explains: “The uninsured is not the most politically salient problem in health care now, that’s affordability, nor is it the non-problem some say it is. But it’s coming back. And the problem of the chronically ill uninsured is glaring.” Read more.

Key Facts about the Uninsured Population

The number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF’s analysis of data from the American Community Survey (ACS). This issue brief describes trends in health coverage in 2024, examines the characteristics of the uninsured population , and summarizes the access and financial implications of not having coverage.

More on the uninsured population >>

Data and analysis

The Uninsured and Health Coverage

This Health Policy 101 chapter examines the share of the United States population who are uninsured, highlighting their demographics and the challenges they face because of the lack of coverage.

How Many Uninsured Are in the Coverage Gap?

An estimated 1.4 million uninsured individuals in the 10 states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the “coverage gap,” ineligible for Medicaid or for tax credits that would make ACA coverage affordable to them.

Key Facts on Health Coverage of Immigrants

This fact sheet provides an overview of health coverage for immigrants based on data from the 2023 KFF/LA Times Survey of Immigrants. As of 2023, half of likely undocumented immigrant adults and one in five lawfully present immigrant adults reported being uninsured.

Who was uninsured in 2024?

Latest Polling
9.8%

The share of people under age 65 without insurance
62%

The share of uninsured adults who said they were uninsured because coverage is not affordable
59%

The share of uninsured adults who said they or someone living with them had problems paying for health care
39%

The share of uninsured adults who reported delaying or not getting needed care or medication due to cost
Other key facts about the uninsured >>

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  • Pulling it Together: What Conservatives Are Winning

    Perspective

    Conservatives are out of sorts these days about the direction in which health care is headed. They think the new health reform law expands the role of government too much and spends too much at a time when they believe deficit reduction should be a higher priority. The claims about death panels and a government takeover of the health system aside, these are principled positions for conservatives to take – they are supposed to be…

  • Useful Resources as the New U.S. Census Numbers on Health Coverage are Released

    Other Post

    With the U.S. Census Bureau releasing its annual update on health insurance coverage and the number of uninsured Americans shortly, Kaiser Family Foundation resources may be helpful. The Foundation and its largest program area, the Kaiser Commission on Medicaid and the Uninsured, produce several informational resources that analyze America's health insurance coverage, as well as the policy issues and public opinion regarding the uninsured. The Cost of Not Covering the Uninsured Project is an ongoing…

  • Health Care in New Orleans from the People’s Perspective

    Event

    Diane Rowland, executive vice president of Kaiser, testified to the House Energy and Commerce Subcommittee on Oversight and Investigation about the health care needs of New Orleans' residents and their access to health services in the area. Her testimony was a part of the hearing, "Post-Katrina Health Care in the New Orleans Region: Progress and Continuing Concerns, Part II." Testimony (.pdf)

  • Eroding Access among Nonelderly Adults with Chronic Conditions: Ten Years of Change

    Report

    A Kaiser study published as a Health Affairs web-exclusive article finds the number of working-age adults who have major chronic conditions grew by 25 percent between 1997 and 2006 and those without health coverage in this group experienced substantial erosion in access to health care. The study also reveals that finds the cost of prescription drugs more of a problem today for all with chronic conditions, regardless of insurance coverage status. Health Affairs Abstract Health…

  • Putting Women’s Health Care Disparities On The Map: Examining Racial and Ethnic Disparities at the State Level

    Report

    This Kaiser Family Foundation report documents the persistence of disparities between white women and women of color across the country. It provides a rare and comprehensive state-level look at disparities among women of different races and ethnicities on a broad range of indicators of health and well-being, including rates of diseases such as diabetes, heart disease, AIDS and cancer, and access to health insurance and health screenings.

  • The Effects of the Economic Recession on Communities of Color

    Issue Brief

    This issue brief examines some of the challenges associated with employment, daily life and access to health care among racial minorities, who tend to be disproportionately affected by many of the consequences of economic hard times. High unemployment rates, coupled with vast differences in savings and wealth, have left many individuals struggling to afford such basic necessities as housing and food, and have resulted in lapses in health coverage and difficulties paying for needed medical…

  • The New Review and Approval Process Rule for Section 1115 Medicaid and CHIP Demonstration Waivers

    Fact Sheet

    For many years, Section 1115 waivers have been used in the Medicaid program to provide states an avenue to test and implement coverage approaches that do not meet federal program rules, but there have been longstanding concerns about the lack of public input and transparency in the waiver approval process. As a result, the Affordable Care Act required the Department of Health and Human Services to issue regulations designed to ensure that the public has…

  • Putting Men’s Health Care Disparities on the Map: Examining Racial and Ethnic Disparities at the State Level

    Report

    This Kaiser Family Foundation report finds that men of color in almost every state continue to fare worse than white men on a variety of measures of health, health care access and other social determinants of health. It documents the persistence of such disparities between white men and men of color -- and among different groups within men of color -- on 22 indicators of health and well-being, including rates of diseases such as AIDS,…

  • How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform

    Report

    Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in recent years. Findings show that plans rely on a number of cost management strategies to constrain the growth in drug spending including formularies, tiered-copayments, mail-order benefits, and fixed caps or dollar limits…