government

Uninsured jumped to 46.3 million in 2009

Another 2.5 million U.S. adults joined the uninsured population as the ranks of the privately insured continued to decline, says a new report.

By Doug Trapp — Posted July 5, 2010

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

The steady increase in the number of uninsured and the decline in private coverage continued in 2009, though these trends were partially mitigated by public programs and federal coverage subsidies, a new government report concludes.

Approximately 46.3 million, or 15.4% of Americans, were uninsured at any one time in 2009, an increase of 2.5 million since 2008. That's according to estimates released June 16 by the Centers for Disease Control and Prevention's National Center for Health Statistics.

The number of uninsured might have been higher without the availability of public coverage and the COBRA subsidy in last year's stimulus package. That paid for 65% of the cost of health insurance for people who lost their jobs involuntarily, but the subsidy ended on May 31, 2010.

The uninsured population grew largely because of adults losing coverage, the survey found. The number of nonelderly adults without health insurance at any one time reached 40 million, or 21.1% in 2009 -- an increase of 2.9 million since 2008.

For children, coverage gains more than balanced out the losses, according to Robin Cohen, PhD, a CDC statistician and lead author of the report. "If there was a loss of private coverage, it was made up for with an increase in public coverage," Cohen said.

On the whole, children gained coverage by qualifying for public programs such as Medicaid and the Children's Health Insurance Program. The number of children with public coverage increased by 3.5 million in 2009, more than triple the growth of adults with public coverage.

Private coverage continued to decline across the board. The percentage of people with such plans decreased to 62.9%, down 2.5 percentage points. Similar decreases occurred in private coverage for both children and nonelderly adults.

The health coverage estimates did not contain any unexpected news, said Paul Fronstin, PhD, a senior research associate with the Employee Benefit Research Institute. Fronstin said the ending of COBRA subsidies on May 31 could push the number of uninsured people higher in 2010. Democrats in Congress have pushed for an extension of COBRA benefits, but they have been unable to attract enough support from their conservative wing or from moderate Republicans.

Fronstin said the growth in the uninsured population also was restrained by the ability of unemployed spouses to enroll in their partners' health plans. "It's one of those things that gets ignored in any discussion about health coverage," he said.

The annual CDC numbers serve as an early indicator of trends that might be highlighted in the upcoming U.S. Census Bureau uninsured estimates, typically released in late August. The CDC estimates are based on a continuous 2009 survey with a sample of roughly 88,000 people. The Census report is based on a similar-sized sample, but it uses monthly surveys conducted between February and April.

Back to top


ADDITIONAL INFORMATION

More adults lack coverage

View in PDF

Click to see data in PDF.

The number of uninsured adults increased sharply in 2009 -- 15.4% of Americans did not have coverage at any one time last year. The number of uninsured children, meanwhile, went down as more children qualified for coverage under Medicaid and CHIP. Some 3.5 million more children received public insurance in 2009.

2009200820072006
Nonelderly uninsured adults (in millions)
At time of interview21.119.719.419.8
For part of the past year25.624.323.724.1
For more than a year15.414.614.314.5
Uninsured children (in millions)
At time of interview8.28.98.99.3
For part of the past year12.813.312.613.0
For more than a year4.85.65.05.2

Note: Some respondents fit into more than one category.

Source: "Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2009," Centers for Disease Control and Prevention, National Center for Health Statistics, June 20 (link)

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story