Since the 1980s, the number of uninsured individuals in this country has continued to grow. It is estimated that over 43 million people in the United States do not have health insurance, or 15.2 percent of the total population (Mitka, 2004). Of those people without health insurance, about 53 percent of uninsured individuals were estimated to be uninsured for at least nine months (McLellan, 2003). More recent studies dispute these findings and indicate that a ranch higher number of people, or 75 million people, lacked health insurance. Of these uninsured individuals, two-thirds were without health insurance for six months or longer, and 71 percent were employed either full-time or part-time (McLellan, 2003). It is difficult to obtain an accurate account of exactly how many Americans are uninsured. Due to sampling and methodological difficulties, various studies produce different statistics (Haley & Zuckerman, 2003; McLellan, 2003). However, there is one consistent theme that emerges throughout all of these studies. The population of uninsured is getting larger with not a glimmer of hope that this situation will improve in the near future. Who are these people without insurance? About 80 percent of the uninsured were in working families, families that labor to support themselves on meager wages, in jobs that offer no benefits. Of this employed group, 20 million people who were uninsured had full-time jobs and 6 million had part-time jobs (Mitka, 2002). Looking at ethnic composition, 52 percent of the uninsured were non-Hispanic white people. However, Hispanics and African Americans were more likely to be uninsured than non-Hispanic white individuals. Four of five uninsured people are U.S. citizens. Statistics for the uninsured according to age groups, indicate that the nonelderly age group was the most likely to experience being uninsured with 49.6 percent of the 18 to 24 year olds in this category and 32.7 percent of the 25 to 44 year olds having no insurance (McLellan, 2003). However, more than 3 million adults ages 55 to 64 lack health insurance. Our youngest population group is vulnerable too, with 8.5 million children in the United States, or 12 percent of all children under the age of 18, being uninsured. CONDITIONS THAT LEAD TO UNINSURANCE There are many reasons why so many Americans are finding themselves uninsured. The decline in the economy over the past few years has resulted in more individuals finding themselves in positions of unemployment or underemployment. Each change in employment circumstances has the potential to affect health insurance benefits. Even if employed, individuals may find that health care benefits are beyond their reach. In poor economic times, employers drop health insurance coverage as a benefit or shift costs to their employees. Furthermore, only two-thirds of U.S. workers are offered health insurance by their employers (National Center for Health Statistics, 2004). If health insurance is offered as a benefit, it can be cost prohibitive to purchase. It is estimated that 20 percent of the workers who are unemployed cannot afford health insurance offered by employers. In 2003 the average annual premium for employer-sponsored group insurance was $9,068 for family coverage, with 73 percent of this cost contributed by the employer (Mitka, 2004). The self-employed face similar financial obstacles in obtaining health coverage. Just 7 percent of Americans purchase non-group health insurance policies for themselves or their families. People are also at risk of becoming uninsured during life transitions. Circumstances such as no longer being considered a dependent on a parent's policy, transition from student to employer, retiring before age 65, losing a spouse through divorce or death, or losing or changing jobs places people at risk. All of these situations leave people vulnerable to losing their insurance coverage. For those individuals dependent on government-sponsored health insurance such as Medicaid, budget deficits at the federal, state, and local levels have resulted in reductions in coverage, and removal of some from the Medicaid rolls. …
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