The share of Americans under age 65 without health insurance fwell each of youar between 2010, when the Affordable Care Act was signed into law, and 2016, when President Barack Obama left office. Although the rate of uninsured among Americans under 65 increased in the years since, it remains well below the 17%+ figures in the years before the ACA.
Without a universal health care program, employer health insurance covers most Americans under age 65. Under this system, 10.3% of Americans under age 65, or about 25 million people, had no health insurance in 2019 — and that was before the COVID-19 pandemic.t more than 22 mtrillion Americans out of work.
Although most of those jobs have since been restored, the official 2020 uninsured rate for Americans under 65 will likely be higher than the 2019 rate, which in some parts of the country was already well above the national uninsured rates before death. of the ACA.
Using data from the United States Census Bureau, 24/7 Tempo identified the county, or county equivalent, with the worst health insurance coverage in each state. Counties were ranked by the proportion of residents under age 65 — the Medicare eligibility age — who are uninsured.
Uninsured rates vary widely across the country, and therefore a county’s ranking on this list does not necessarily mean that the uninsured rate is high compared to the nation as a whole. In several states, particularly New England and parts of the Midwest, the highest uninsured rate among counties is in the single digits. Uninsured rates in the counties on this list range from 3.9% all the way up to 38.3%. (These are the cities with the worst health insurance coverage in each state.)
Click here to see the county with the worst health insurance coverage in each state
Click here to read our detailed methodology