Virtually Every State Experienced Deteriorating Access to Care for Adults Over the Past Decade

Quantitative Analysis Report

A report funded by the Robert Wood Johnson Foundation, as part of its Affordable Care Act (ACA) Implementation Monitoring and Tracking Series, shows that the ability of U.S. adults to access basic health care services has declined in nearly every state over the last decade. Adults without health insurance saw larger declines in the ability to obtain basic health care services, compared to those with coverage. By 2010, almost half of uninsured adults (48.1%) had an unmet health need due to cost, compared to 11.2 percent of insured adults.

Key Findings

  • The share of adults experiencing unmet medical needs due to cost rose by 6.0 percentage points from 2000 to 2010. For uninsured adults, it rose by 10.8 percentage points.

  • The share of adults receiving a routine check-up decreased nationwide by 5.1 percentage points, with the share among uninsured adults decreasing by 11.6 percentage points.

  • The share of adults receiving a dental visit dropped by 3.9 percentage points, while the share among uninsured adults fell by 9.0 percentage points.

This report is one in a series of briefs examining coverage trends among different groups targeted by ACA coverage expansions.

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