Posting date: January 28, 2004

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Health Affairs, 10.1377/hlthaff.w4.31
Copyright © 2004 by Project HOPE

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Changes In Health Insurance Coverage During The Economic Downturn: 2000-2002

¹ John Holahan directs the Health Policy Center at the Urban Institute in Washington, D.C.
² Marie Wang is a research assistant at the Urban Institute in Washington, D.C.

^*Corresponding author.

Abstract

Using Current Population Survey data from 2000-2002, this paper documents the changes that led the uninsured population to grow by 3.8 million during that time period. All of the increase in the uninsured occurred among adults, and two-thirds was among low-income adults. The extent to which the loss of employer coverage resulted in people becoming uninsured depended on their access to public programs: Children were more likely than adults to gain public coverage; women more likely than men; and parents more likely than nonparents. Middle- and higher-income Americans were also affected because many lost income and because rates of employer coverage were lower.

Key Words: Insurance Coverage, Access To Care, Insurance - Employer-Based System, Consumer Issues, Health Reform, Health Spending

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