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United States
Lack of Health Insurance
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Lack of Health Insurance is the percentage of the population not covered by private or public health insurance. The 2013 ranks are based on 2011 and 2012 data from the Annual Social and Economic Supplement Bureau of the Current Population Survey.

Individuals without health insurance have more difficulty accessing the health care system, are often unable to participate in preventive care programs, and have more unmet health needs.[1] In addition to decreasing quality of life, these unmet health needs can place a substantial burden on the health care system. Over time, unmet health needs can develop into more serious conditions which require more costly treatments. Lack of health insurance often leads to more emergency department visits which can cost up to 10 times more than treatment in a clinic.[2] For these reasons and many more, uninsured individuals have consistently been found to have worse health outcomes.[3] Among the uninsured, preventative health care services are less utilized and cancer mortality rates are higher.[4] Overall, the unmet health needs of the uninsured translate into a 25 percent greater risk of mortality compared to those with insurance, accounting for an estimated 18,000 excess deaths annually.[5]

The prevalence of the population without health insurance ranges from a low of 3.8 percent in Massachusetts to a high of 24.2 percent in Texas. Nationally, 15.6 percent of the US population are uninsured.

The Healthy People 2020 access to health services leading health indicator target is to increase the proportion of persons with medical insurance to 100 percent.



[1] Ayanian JZ. Unmet health needs of uninsured adults in the United States. JAMA. 2000;284(16):2061.

[2] Newton MF. Uninsured adults presenting to US emergency departments. JAMA. 2008;300(16):1914.

[3] Freeman JD. The causal effect of health insurance on utilization and outcomes in adults: A systematic review of US studies. Med Care. 2008;46(10):1023.

[4] Ward E. Association of insurance with cancer care utilization and outcomes. Ca. 2008;58(1):9.

[5] Ayanian JZ. Unmet health needs of uninsured adults in the United States. JAMA. 2000;284(16):2061.

 

USA Lack of Health Insurance (1990-2013) see more
  • Percentage of the population that does not have health insurance privately, through their employer, or the government. Two year average.
  • Percentage of the population that does not have health insurance privately, through their employer or the government. Annual rate, revised CPS method of estimation.
  • Percentage of the population that does not have health insurance privately, through their employer or the government. Annual rate.

The measures tracked by America's Health Rankings are those actions that can affect the future health of the population. For a state to improve the health of its population, efforts must focus on these measures, these determinants of health.

STATE RANKINGS

State Changes
Over Time
Rank Value Take Action
Alabama graph 32 15.9 View Actions
Alaska graph 40 17.6 View Actions
Arizona graph 43 19.0 View Actions
Arkansas graph 42 18.9 View Actions
California graph 45 19.4 View Actions
Colorado graph 24 13.8 View Actions
Connecticut graph 9 11.1 View Actions
Delaware graph 13 12.1 View Actions
Florida graph 48 21.3 View Actions
Georgia graph 46 19.9 View Actions
Hawaii graph 2 7.5 View Actions
Idaho graph 36 17.2 View Actions
Illinois graph 27 14.5 View Actions
Indiana graph 21 13.6 View Actions
Iowa graph 10 11.6 View Actions
Kansas graph 15 12.8 View Actions
Kentucky graph 31 15.4 View Actions
Louisiana graph 36 17.2 View Actions
Maine graph 6 9.7 View Actions
Maryland graph 18 13.2 View Actions
Massachusetts graph 1 5.0 View Actions
Michigan graph 16 13.0 View Actions
Minnesota graph 3 8.9 View Actions
Mississippi graph 44 19.2 View Actions
Missouri graph 26 14.3 View Actions
Montana graph 34 16.6 View Actions
Nebraska graph 14 12.2 View Actions
Nevada graph 47 21.0 View Actions
New Hampshire graph 7 10.1 View Actions
New Jersey graph 30 15.0 View Actions
New Mexico graph 48 21.3 View Actions
New York graph 27 14.5 View Actions
North Carolina graph 38 17.4 View Actions
North Dakota graph 11 11.7 View Actions
Ohio graph 23 13.7 View Actions
Oklahoma graph 39 17.5 View Actions
Oregon graph 35 16.8 View Actions
Pennsylvania graph 8 11.0 View Actions
Rhode Island graph 11 11.7 View Actions
South Carolina graph 41 18.7 View Actions
South Dakota graph 17 13.1 View Actions
Tennessee graph 29 14.9 View Actions
Texas graph 50 25.0 View Actions
Utah graph 25 13.9 View Actions
Vermont graph 5 9.5 View Actions
Virginia graph 20 13.4 View Actions
Washington graph 18 13.2 View Actions
West Virginia graph 21 13.6 View Actions
Wisconsin graph 4 9.2 View Actions
Wyoming graph 33 16.3 View Actions
  • 1990 - 2013
    Annual Report
  • 2013
    Senior Report

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