Rasmussen Petra W, Collins Sara R, Doty Michelle M, Beutel Sophie
The Commonwealth Fund.
Issue Brief (Commonw Fund). 2015 Apr;7:1-12.
Across the country's four largest states, uninsured rates vary for adults ages 19 to 64: 12 percent of New Yorkers, 17 percent of Californians, 21 percent of Floridians, and 30 percent of Texans lacked health coverage in 2014. Differences also extend to the proportion of residents reporting problems getting needed care because of cost, which was significantly lower in New York and California compared with Florida and Texas. Similarly, lower percentages of New Yorkers and Californians reported having a medical bill problem in the past 12 months or having accrued medical debt compared with Floridians and Texans. These differences stem from a variety of factors, including whether states have expanded eligibility for Medicaid, the state's uninsured rate prior to the Affordable Care Act taking effect, differences in the cost protections provided by private health insurance, and demographics.
在该国四个最大的州，19至64岁成年人的未参保率各不相同：2014年，12%的纽约人、17%的加利福尼亚人、21%的佛罗里达人以及30%的得克萨斯人没有医保覆盖。差异还体现在因费用问题而报告难以获得所需医疗服务的居民比例上，与佛罗里达和得克萨斯相比，纽约和加利福尼亚的这一比例要低得多。同样，与佛罗里达人和得克萨斯人相比，报告在过去12个月里有医疗账单问题或累积了医疗债务的纽约人和加利福尼亚人的比例较低。这些差异源于多种因素，包括各州是否扩大了医疗补助的资格范围、《平价医疗法案》生效前该州的未参保率、私人医疗保险提供的费用保护差异以及人口统计数据。
