The Long-Term Uninsured Were Less Likely than the Short-Term Uninsured to Gain Insurance in 2014

Excerpt

Insurance coverage expansions beginning in 2014 have been associated with significant reductions in the number uninsured.1 However, some remain uninsured even after expansions.2 Coverage increases aim to reduce the financial risk associated with health care and provide access to services beneficial in protecting health. This latter goal may be particularly important for the long-term uninsured, since they have been more likely than the short-term uninsured to lack a usual source of care, a recent physician visit, and report not receiving needed care.3 They have also been least likely to receive recommended preventive services.4 However, the long-term uninsured could also be less likely than the short-term uninsured to enroll in health insurance since they are more likely to feel that they do not need health insurance, that it is not worth the cost, or that illnesses can be overcome without medical help.3 They may also be less familiar with the health care system and less likely to learn about options for obtaining coverage. …