Health Affairs, doi: 10.1377/hlthaff.27.2.w135
(Published online February 20, 2008)
© 2008 by Project HOPE
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The U.S. Economy And Changes In Health Insurance Coverage, 2000-2006

John Holahan 1* Allison Cook 2

1 John Holahan is the director of the Health Policy Center at the Urban Institute in Washington, D.C.
2 Allison Cook is a research associate there.

*Corresponding author.

  Abstract

The number of uninsured Americans increased by 3.4 million between 2004 and 2006, despite improving economic conditions. In the first four years of the decade, during a period of economic recession, the number increased by 6.0 million. The dominant factor in both periods was a decline in employer-sponsored insurance coverage. Although the recent decline was less than that experienced from 2000 to 2004, growth in public coverage was small, and the number of uninsured people increased by 1.0 million children and 2.4 million adults. Employer coverage declined most for self-employed or small-firm workers, in the South, and among noncitizens. [Health Affairs 27, no. 2 (2008): w135-w144 (published online 20 February 2008; 10.1377/hlthaff.27.2.w135)]

Key Words: Access To Care, Business Of Health, Consumer Issues, Insurance Coverage, Insurance Coverage - Children, Insurance - Employer-Based System, Health Spending, Insurance Market


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