Uninsured

New and noteworthy

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.

State Health Facts: Health Coverage & the Uninsured

Get data on health insurance status for the population overall and broken down by age, gender, and income. More than 800 up-to-date health indicators at the state level can be mapped, ranked, and downloaded through State Health Facts.

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

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  • What Happens When Public Coverage Is No Longer Available?

    Issue Brief

    This policy brief examines national data to determine the share of current enrollees of public health coverage programs who would have alternate coverage options if public coverage were no longer available. The authors estimate that no more than 9 percent of low-income adults would have access to an alternative source of insurance in the absence of public coverage. This research suggests that the vast majority of current enrollees affected by cutbacks in eligibility for public…

  • A Pre-Katrina Look At the Health Care Delivery System For Low-Income People In New Orleans

    Issue Brief

    A Pre-Katrina Look At the Health Care Delivery System For Low-Income People InNew Orleans This issue brief offers a retrospective look at how care was provided to poor residents in New Orleans before Hurricane Katrina hit. It describes the structure of the public safety net and briefly discusses the challenges facing the system as it tries to rebuild. Issue Brief (.pdf)

  • Uninsured and Their Access to Health Care, 2005

    Fact Sheet

    The Uninsured and Their Access to Health Care This fact sheet describes the characteristics of the uninsured population, the difference health insurance makes, and why there is a large uninsured population. Fact Sheet (.pdf)

  • New Reports Profile the Growing Uninsured Population and Portray the Health Care Safety Net as Increasingly Strained

    Event Date:
    Event

    Five Kaiser Commission on Medicaid and the Uninsured reports released at a policy briefing profile the growing uninsured population and portray the health care safety net as increasingly strained to meet uninsured people’s needs. News Release Covering the Uninsured: Growing Need, Strained Resources Federal Spending on the Health Care Safety Net from 2001-2004: Has Spending Kept Pace with the Growth in the Uninsured? Health Affairs article, Changes in Economic Conditions and Health Insurance Coverage, 2000-2004…

  • Threadbare:  Holes in America’s Health Care Safety Net

    Report

    Threadbare: Holes in America’s Health Care Safety Net This report describes the impact of coverage gaps in our safety net through the perspectives of those who provide care to the uninsured and first-hand accounts of the uninsured who are seeking care. Report (.pdf)

  • Health Coverage in America, 2004 Data Update

    Report

    This chartbook provides 2004 data on health insurance coverage, with special attention to the uninsured. It includes trends and major shifts in coverage and a profile of the uninsured population. Report (.pdf)