Holahan John, Pohl Mary Beth
Health Policy Center, Urban Institute, Washington, DC, USA.
Health Aff (Millwood). 2002 Jul-Dec;Suppl Web Exclusives:W162-71. doi: 10.1377/hlthaff.w2.162.
The number of uninsured Americans fell in 2000 for the second consecutive year. The reduction has been attributed to the continued expansion of employer-sponsored insurance. However, the increase in employer coverage among adults was offset by declines of other types of coverage. For children, increases in public coverage plus the growth in employer-sponsored insurance led to the reduction in the number of uninsured children. Over the longer period (1994-2000), one of great economic growth, the uninsurance rate was essentially the same at the end as at the beginning. The rate of employer-sponsored insurance increased sharply, so that more people had employer coverage. However, these increases were offset by reductions in other forms of coverage, particularly Medicaid and state-sponsored insurance and private nongroup coverage, so the overall rate of uninsurance did not change.
2000年，未参保的美国人数连续第二年下降。这一下降归因于雇主提供保险的持续扩大。然而，成年人中雇主承保范围的增加被其他类型承保范围的下降所抵消。对于儿童来说，公共承保范围的增加加上雇主提供保险的增长导致了未参保儿童数量的减少。在较长时期（1994 - 2000年），即经济大幅增长的时期，未参保率在末期与初期基本相同。雇主提供保险的比例急剧上升，因此更多人获得了雇主承保。然而，这些增长被其他形式承保范围的减少所抵消，特别是医疗补助、州政府提供的保险以及私人非团体保险，所以总体未参保率没有变化。
