Urban Institute joins the crowd: 4 major surveys agree, U.S. uninsured down by 10-13 million due to ACA
Submitted by Charles Gaba on Thursday, July 10, 2014 - 5:03pm.
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Hot on the heels of this morning's Commonwealth Study survey, which pegs the reduction of the number of uninsured adults at 5% (around 9.5 million, plus perhaps 2.5 million children under 18, for a total reduction of around 12 million) comes another study by the Urban Institute, which gives a slightly smaller reduction (4% of all adults nationally, or around 8 million...or around 10.5 million or so if you add children in).
So, we now have studies by the RAND Corporation (9.3 million adults, plus 2-3 million kids), Gallup (around 5%, or 9.9 million adults, plus 2-3 million kids), the Commonwealth Fund (5% of adults...identical to Gallup) and the Urban Institute (around 4% of adults, or around 8 million adults, plus 2-3 million children) all coming to the same conclusion: The Affordable Care Act has indeed reduced the number of uninsured Americans by somewhere between 10 - 13 million people to date.
The Urban Institute survey may be lower than the other three, but the RAND study was actually quite a bit higher (remember, it was conducted back in mid-MARCH, meaning that RAND was claiming a 9.3 million uninsured adult reduction before 40% of the Open Enrollment enrollees had even signed up), so it's looking very much like Gallup and Commonwealth have hit the nail pretty much on the head.
It's also noteworthy that, as you'd imagine, the uninsured rate in Medicaid expansion states has dropped far more dramatically (6.1%) than that of non-expansion states (just 1.7%). Of course, the uninsured rate in states which expanded Medicaid were already 4% lower than non-expansion states to begin with, which should give you a pretty good idea of just where "having healthcare coverage" has typically ranked on the priority list for those states.
Still, this does suggest that if all 50 states had taken ACA expansion, the uninsured rate nationally could have dropped by as much as an additional 4 million people by now. What a shame.
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