Barker Abigail R, Londeree Jessica K, McBride Timothy D, Kemper Leah M
Rural Policy Brief. 2014 Feb 1(2014 2):1-4.
Key Findings. (1) Assuming Medicaid expansion in each of the fifty states and the District of Columbia, a larger proportion of the rural (non-metropolitan) uninsured (43.5%) than the urban uninsured (38.5%) would be eligible for Medicaid. (2) In both urban and rural places, across the adult non-elderly population, uninsured rates decline dramatically with age. (3) Within each age group of the uninsured, rural people are less likely to have incomes above 400% of the federal poverty level (FPL), meaning that overall more rural uninsured would be eligible for some form of health insurance assistance under the Patient Protection and Affordable Care Act (ACA), either subsidized coverage in new marketplaces, or through Medicaid if all states were to implement expansion. (4) While over half of the uninsured in both rural and urban areas are younger than 40 years, the uninsured in rural areas are disproportionately older across all income categories, which reflects the age distribution in the population.
（1）假设五十个州和哥伦比亚特区都扩大医疗补助计划，农村（非都市地区）未参保人群中符合医疗补助条件的比例（43.5%）高于城市未参保人群（38.5%）。（2）在城市和农村地区，在成年非老年人群体中，未参保率随年龄大幅下降。（3）在每个未参保年龄组中，农村居民收入高于联邦贫困线（FPL）400%的可能性较小，这意味着总体而言，根据《患者保护与平价医疗法案》（ACA），更多农村未参保者有资格获得某种形式的医疗保险援助，要么是新市场中的补贴保险，要么如果所有州都实施扩大计划，则通过医疗补助计划。（4）虽然农村和城市地区超过一半的未参保者年龄在40岁以下，但农村地区未参保者在所有收入类别中的年龄分布都相对偏大，这反映了人口中的年龄分布情况。
