Methodology reminders, including some important updates:
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old.
For most states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For Colorado, Georgia, New Mexico and Texas, I'm using their COVID vaccine dashboards set up by the state health departments.
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
NEW: I discovered that there's several additional states where the state health department dashboard data seems to be more comprehensive and accurate than the CDC data, including Illinois, Minnesota and North Carolina. I've switched to these states health department reports starting today.
The 5 major U.S. territories don't vote for President in the general election, preventing me from displaying them in the main graph, but I have them listed down the right side.
(sigh) Once again, the Kansas Insurance Dept. is supremely unhelpful when it comes to providing information about individual & small group market health insurance premium rate changes. Not only are the ACA plans not listed in the state's SERFF database or on the department's website, even the actuarial memos available at the federal Rate Review website are heavily redacted. As a result, I only have the actual enrollment numbers for a handful of carriers, preventing me from being able to calculate a weighted average (or to estimate the state's total ACA enrollment size, for that matter).
The unweighted average rate increase on Kansas' individual market is +8.3%, and it's +5.6% for the small group market, anyway.
The only way I was able to find the rate changes was by using the federal Rate Review website, and even then, the actuarial memos are all heavily redacted, making it impossible to know what the enrollment for each carrier si (with one exception: Wellmark Health Plan reported having 32,000 ACA-compliant individual market enrollees as of March 2021).
The Indiana Insurance Dept. doesn't seem to have issued a formal press release about this (or if they did, I can't find it), but they've quietly posted their preliminary 2022 health insurance premium rate change requests for both the individual and small group markets:
The overall average rate increase for 2022 Indiana individual marketplace plans is -1.65%.
Anthem, CareSource , US Health and Life, and Celtic (MHS/Ambetter) have filed to participate in the 2022 Indiana Individual Marketplace.
Anthem has also filed to offer an Off-Marketplace catastrophic plan in Benton, Jasper, Newton, Warren and White Counties.
The IDOI will finalize the review of the 2022 ACA compliant filings both on and off the federal Marketplace by September 22, 2021.
It looks like US Health & Life is new to the Indiana individual market, while UnitedHealthcare of KY is new to the small group market. Unfortunately I couldn't find the actual small group enrollment number for either Physicians Health Plan or Southeastern Indiana Health on the sm. group market, and the IU Health Plan number is an estimate.
For nearly a year, I posted a weekly analysis of the 100 U.S. counties (out of over 3,100 total) which had the highest cumulative rates of COVID-19 cases and deaths per capita. In addition, I also included a running graph which compared the ratio of COVID cases & deaths per capita between blue and red counties to track how this changed over time.
The results were extremely telling: In the early days of the pandemic back in March/April 2020, the blue counties were devastated for a variety of reasons, including heavy population density, the fact they were mostly located along the coasts (usually in cities with major international ports/airport hubs), and so forth. Democrats tend to live in heavily-populated urban areas, while Republicans are prone to live in more sparsely-populated rural areas, so this made sense.
For the first few months, both case and death rates were running as much as 4-5x higher in counties which voted solidly for Hillary Clinton in 2016/Joe Biden in 2020 than in those which voted for Trump in either 2016 or 2020.
The Department of Insurance receives preliminary health plan information for the following year from insurance carriers by June 1 and reviews the proposed plan documents and rates for compliance with Idaho and federal regulations.The Department of Insurance does not have the authority to set or establish insurance rates, but it does have the authority to deem rate increases submitted by insurance companies as reasonable or unreasonable. After the review and negotiation process, the carriers submit their final rate increase information.The public is invited to provide comments on the rate changes. Please send any comments to Idaho Department of Insurance.
It's important to note that the rate changes on the actual tables posted on the Insurance Dept. site are rounded off to the nearest percentage. It's also important to note that when I click through to the actual rate filings and plug in the more exact averages along with the number of members to calculate the weighted average, I got slightly different numbers:
Information About Proposed Rates for January 2022 Health Plan Offerings on DC Health Link
This page contains proposed health plan rate information for the District of Columbia’s health insurance marketplace, DC Health Link, for plan year 2022.
The District of Columbia Department of Insurance, Securities and Banking (DISB) received 184 proposed health insurance plan rates for review from Aetna, CareFirst BlueCross BlueShield, Kaiser Permanente and United Healthcare in advance of open enrollment for plan year 2022 on DC Health Link, the District of Columbia’s health insurance marketplace.
The four insurance companies filed proposed rates for individuals, families and small businesses for the 2022 plan year. Overall, 184 plans were filed, compared to 188 last year. The number of small group plans decreased from 163 to 157, and the number of individual plans increased from 25 to 27.
Health Insurance rate filings are available for the companies listed below. Additional companies will be listed as their filings are received. Any insurance filings already approved are available to the public through the NAIC’s System for Electronic Rate and Form Filing (SERFF) interface. There is no fee for using SERFF. Rate info can also be accessed at the Rate Review page at Healthcare.gov
Highmark DE is requesting an average plan level rate increase of 4.0% based on the projected enrollment mix by plan. The plan level rate changes will impact an estimated 26,568 current members. The rate change will vary by product ranging from a minimum of 1.7% to a maximum of 14.7%.
The Connecticut Insurance Department has posted the initial proposed health insurance rate filings for the 2022 individual and small group markets. There are 15 filings made by 11 health insurers for plans that currently cover approximately 222,700 people.
Anthem and ConnectiCare Benefits Inc. (CBI) have filed rates for both individual and small group plans that will be marketed through Access Health CT, the state-sponsored health insurance exchange. ConnectiCare Insurance Company, Inc. will begin participating on the exchange in the individual market effective 1/1/2022.
Cigna Health and Life Insurance Company began participating in the small group market 7/1/2021.
The 2022 rate proposals for the individual and small group market are on average higher than last year:
The proposed average individual rate request is an 8.6 percent increase, compared to 6.3 percent in 2021 and ranges from 5.1 percent to 12.3 percent.
The Biden-Harris Administration is expanding the number of Navigator organizations to help people enroll in coverage through the Marketplace, Medicaid, or the Children’s Health Insurance Program (CHIP) in 30 states with a Federally-Facilitated Marketplace. Through $80 million in grant awards for the 2022 plan year, 60 Navigator awardee organizations will be able to train and certify more than 1,500 Navigators to help uninsured consumers find affordable and comprehensive health coverage.
200,000 MARYLANDERS GAINED HEALTH COVERAGE THROUGH THE CORONAVIRUS SPECIAL ENROLLMENT
Special enrollment in response to pandemic ran from March 2020 to August 2021
(BALTIMORE) — A total of 201,141 Marylanders enrolled through the Coronavirus Emergency Special Enrollment on Maryland Health Connection from March 16, 2020 to its conclusion on Aug. 15, 2021.
The numbers here are certainly good news and pretty impressive, but it's really, really important to keep that start date in mind when looking at them.
The 17-month special enrollment in response to the pandemic was one of the longest of any state in the country. It was extended several times in 2020 and 2021 as the emergency continued. In all:
Connect for Health Colorado Has Enrolled More Residents in Health Coverage This Year Than Ever Before
Colorado's Marketplace is Keeping Residents Insured during the Pandemic
DENVER – Since Connect for Health Colorado re-opened enrollment on February 8, 2021, to help customers secure health coverage amid the ongoing coronavirus pandemic, approximately 36,350 residents have signed up for a health insurance plan.
As of Sunday, August 15, the last day of the enrollment period, 216,350 Coloradans have signed up for a plan that provides coverage this year. That total is 21,000 more health insurance plan sign ups than the same day last year— a nearly 11 percent increase.
I go by FULLY vaccinated residents only (defined as 2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old.
For 42 states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For Colorado, Georgia, New Mexico and Texas, I'm using their COVID vaccine dashboards set up by the state health departments.
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
The 5 major U.S. territories don't vote for President in the general election, preventing me from displaying them in the main graph, but I have them listed down the right side.
I don't write about standalone dental insurance plan coverage very often (and honestly, neither does HealthCare.Gov or the state-based ACA exchanges), but it's obviously pretty important.
They also estimate that another 1.8 million uninsured Americans who are eligible for subsidized ACA exchange plans who would be eligible for Medicaid instead if those state actually did expand Medicaid (and perhaps another 100K in Missouri). That's nearly 4.0 million total...
So, how to crack this nut in these holdout states, all of which are either completely or partially controlled by Republicans who have adamantly refused to expand the program no matter what all these years?
However, the biggest factors by far in this survey are Party Identification and Who you voted for in 2020:
30% of Republicans still refuse to #GetVaxxed, as well as 21% of Independents...vs. only 5% of Democrats
32% of Trump voters still refuse to #GetVaxxed...vs. just 3% of Biden voters
Joe Biden received ~81.3 million votes last fall. Donald Trump received 74.2 million.
That means, assuming this poll is relatively accurate and representative, there's around 2.44 million Biden voters who are apparently unreachable...but 23.75 million Trump voters who fall into that category. The other ~13 million refuseniks presumably voted 3rd party or didn't vote at all.
Preliminary Information Shows Even Greater Savings in 2022: 24.1% Savings from Bipartisan Reinsurance Program
DENVER - Governor Polis and the Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), released preliminary information about the health insurance plans and premiums for 2022, for the individual market (meaning health insurance plans for people who don’t get their insurance from an employer) and the small group market (for small businesses with 2-100 employees).
17,000 Nevadans Saved on Health Insurance Plans Through Nevada Health Link
The online insurance marketplace increased total enrollments by 7.6% during American Rescue Plan Enrollment Period
CARSON CITY, Nev. (Aug. 23, 2021) – Nevada Health Link, the online health insurance marketplace operated by the state agency, the Silver State Health Insurance Exchange (Exchange), announced that more than 17,000 Nevadans took advantage of premium savings during an Open Enrollment Period (OEP) created by the American Rescue Plan Act (ARPA or American Rescue Plan).
Due to the COVID-19 pandemic and efforts to ensure more Americans are covered by health insurance, The American Rescue Plan Act was signed into law on March 11 of this year, allowing uninsured Nevadans additional opportunities to enroll in health insurance benefits along with significant savings. Customers who were already enrolled also had the opportunity to take advantage of increased subsidies through the Nevada Health Link marketplace.
Last week I noted that MNsure, Minnesota's state-based ACA exchange, announced that while the general, open-ended 2021 Special Enrollment Period had ended back in mid-July, they're still letting any Minnesotan who received unemployment benefits at any point in 2021 the opportunity to enroll in ACA healthcare coverage & take advantage of the American Rescue Plan's Unemployment Benefit.
The key point is that Minnesotans can still do so even if they received UI benefits prior to the July 15th SEP deadline. This means that if you were on unemployment back in, say, January or February, and you still need healthcare coverage for the remainder of 2021, you can still visit MNsure.org and get coverage for the last 4 months of this year for $0 in premiums and with mostly nominal deductibles/co-pays (assuming you aren't eligible for employer-based coverage, Medicaid, etc. instead).
At the time I was mostly interested in looking at the outlier counties--the poorly-vaccinated solidly blue counties and the highly-vaccinated solid red counties.
I also noted that, to no great surprise, the makeup of those 146 "Blue Low-Vaxx" counties is pretty telling:
CMS tells Inside Health Policy that it will be releasing a final report on its COVID-19 Special Enrollment Period in September and points out that consumers who submitted their applications by the Aug. 15 SEP deadline still have 30 days to select a plan. Additionally, staffers are contacting the “very small group” of consumers who reached out to the Marketplace Call Center just before the deadline but were unable to get through to a representative so that those individuals have a chance to enroll, the agency confirms.
The final report was obvious, since the 2021 "No Excuses Needed" SEP still ran through August 15th in most states (and is still ongoing in a few), but I figured they'd come out with it in late August, not September.
I admit that I didn't know (or had forgotten?) about those who submitted their apps prior to 8/15 still having a full month to select a plan. Granted, if they wait until mid-September their coverage won't start until October, giving them just 3 months to use up a full 12-month deductible, but still.
NJ DOBI Announces Grant Opportunity for Navigators to Assist New Jerseyans With Health Insurance Enrollment
Open Enrollment Period at Get Covered New Jersey Begins November 1, 2021
TRENTON – The New Jersey Department of Banking and Insurance today announced it is now accepting applications for community organizations to serve as Navigators to assist residents with health insurance enrollment for the upcoming Open Enrollment Period and during 2022. The department is making available a total of $4 million in grant funding for Navigators, in an effort to ensure enrollment assistance is available in the community for residents seeking coverage through Get Covered New Jersey, the state’s official health insurance marketplace, during the Open Enrollment Period that starts November 1, 2021 and through the year.
Insurance companies offering individual and small group health insurance plans are required to file proposed rates with the Arkansas Insurance Department for review and approval before plans can be sold to consumers.
The Department reviews rates to ensure that the plans are priced appropriately. Under Arkansas Law (Ark. Code Ann. § 23-79-110), the Commissioner shall disapprove a rate filing if he/she finds that the rate is not actuarially sound, is excessive, is inadequate, or is unfairly discriminatory.
The Department relies on outside actuarial analysis by a member of the American Academy of Actuaries to help determine whether a rate filing is sound.
Below, you can review information on the proposed rate filings for Plan Year 2022 individual and small group products that comply with the reforms of the Affordable Care Act.
Highlighting Michigan’s increasingly competitive health insurance market, the Michigan Department of Insurance and Financial Services (DIFS) has reported that consumers will have more health plan options from an increased number of insurers on the Health Insurance Marketplace for the upcoming open enrollment period.
“As we look toward the end of the pandemic and beyond, it is critical that Michiganders are able to get the affordable, high quality health coverage they need for themselves and their families,” said DIFS Director Anita Fox. “Consumers will have more options to choose from when shopping for health insurance coverage on the Marketplace during open enrollment later this year.”
Covered California’s enrollment continues to surge — with 364,000 signing up since February, more than double normal enrollment rates — as more people sign up for coverage to benefit from the new savings and lower premiums available through the American Rescue Plan.
Lower-income households are getting a quality plan for an average of $35 per month, with more than 738,000 people getting brand-name plans for just $1 per month.
Middle-income consumers, who were previously ineligible for federal financial help, are saving an average of nearly $800 per month and seeing their monthly premiums reduced by more than 70 percent.
Covered California’s increased enrollment includes a higher proportion of African American and Latino Californians, two of the communities hit hardest by the COVID-19 pandemic and ensuing recession.
Those who enroll by Aug. 31 would be insured starting Sept. 1.
DIFS Files Cease and Desist Order Against Health Care Sharing Ministry, Connected Businesses Operating in Michigan
(LANSING, MICH) The Michigan Department of Insurance and Financial Services (DIFS) has issued a cease-and-desist order against a healthcare sharing ministry and two connected companies for allegedly acting in violation of the Michigan Insurance Code.
“Health care sharing ministries can have a role in fostering the health, fellowship, and sense of community for individuals of faith, but they must follow the requirements of the law,” said DIFS Director Anita Fox. “The DIFS investigation showed that the companies under this cease-and-desist order are essentially operating as unlicensed health insurance companies, in violation of the Insurance Code.”
The good news is that the federal Rate Review database has now posted the preliminary avg. 2022 rate filings for the individual and small group markets for every state. This makes it very easy to plug in the average requested rate changes in 2021 for every carrier participating in both markets.
The bad news is that most of the underlying filing forms are heavily redacted, meaning I can't use the RR database to acquire the other critical data I need in order to run a proper weighted average: The number of people actually enrolled in the policies for each carrier.
This means that in cases where this data isn't available elsewhere (either the state's insurance department website, the SERFF database or otherwise), I'm limited to running an unweighted average. This can make a huge difference...if one carrier is requesting a 10% increase and the other is keeping prices flat, that's a 5.0% unweighted average rate hike...but if the first carrier has 99,000 enrollees and the second only has 1,000, that means the weighted average is actually 9.9%.
The Affordable Care Act (ACA) requires that insurers planning to increase plan premiums submit their rates to the Alabama Department of Insurance for review.
The rate review process is designed to improve insurer accountability and transparency. It ensures that experts evaluate whether the proposed rate increases are based on reasonable cost assumptions and solid evidence. The ACA also requires that a summary of rate review justifications and results be accessible to the public in an easily understandable format. The Federal HealthCare.gov Rate Review website is designed to meet that mandate. For more information, see here.
The information is provided in the tables below. Also attached are links to the redacted actuarial memorandum, which support these changes. The rate changes are being proposed and reviewed by the Alabama Department of insurance (ALDOI). As soon as they are final, they may be purchased on the Federal Exchange or through private agents and brokers. The programs will be effective beginning on January 1, 2022.
Having said that, those who don't get vaccinated will start facing more financial penalties soon anyway...a point which is included in the NY Times article above itself:
In 2020, before there were Covid-19 vaccines, most major private insurers waived patient payments — from coinsurance to deductibles — for Covid treatment. But many if not most have allowed that policy to lapse. Aetna, for example, ended that policy on Feb. 28; UnitedHealthcare began rolling back its waivers late last year and discontinued them by the end of March.
This week brings a major change...which actually doesn't change things that much, at least for the big picture.
With the U.S. Census Bureau finally releasing the official county-level results of the 2020 Census, I've updated the graph to include the official April 2020 populations for every county, parish borough and census area in the 50 United States + the District of Columbia (along with the U.S. territories), as opposed to the Census Bureau's July 2019 estimated populations which I had been using until now.
For most counties/etc. this only makes a minor difference one way or the other; in 2,656 out of 3,114 (over 85% of them), the difference is less than 5% higher or lower.
However, there's 153 counties where the official 2020 population is at least 5% higher than what I had. In fact there's 26 counties where the Census Bureau has the population down as more than 10% higher. There's even 4 counties where it's 25% higher or more.
The biggest discrepancy in this direction is Harding County, NM, where the actual population (657) is a whopping 49% higher than the 2019 estimate (441).
Wolf Administration Commemorates Pennie’s Two-Year Anniversary; Encourages Pennsylvanians to Enroll in Health Coverage
Deadline to Receive 2021 Savings on Health Coverage is August 15
Harrisburg, PA – The Wolf Administration today commemorated the two-year anniversary of Pennie, Pennsylvania’s state-based health exchange. To date, more than 335,000 consumers have enrolled for coverage through Pennie and, because of the American Rescue Plan, average premiums after subsidies have dropped by half since the beginning of the year, down to $86 a month.
I'm gonna be posting mea culpas for a few days for missing important ACA-related announcements over the past few weeks.
As I've noted several times before, the American Rescue Plan includes an extremely helpful provision for any American who received unemployment benefits at any point during 2021. The short version is that if you received UI benefits for even a single week this year and want to enroll in ACA exchange coverage, your household income will be defined as being 133% of the Federal Poverty Level for purposes of ACA subsidy eligibility regardless of how high or low your actual 2021 income ends up being.
This means, in turn, that you're eligible for a fully-subsidized ACA exchange plan...that is, there will be at least one Silver plan available for $0/month in premiums after subsidies are applied.
Last Call for Coloradans to Sign Up for 2021 Health Coverage
After August 15th, you’ll need a qualifying event to enroll
DENVER — Coloradans have until Sunday, August 15th to sign up and save on health coverage through Connect for Health Colorado. Thanks to a new federal law, more Coloradans are eligible to save than ever before. But this is the last chance for people to enroll in a plan that provides coverage this year unless they experience a Qualifying Life Event.
HOWEVER, you can still #GetCovered for the rest of 2021 in a few states (including two of the largest ones), and there are still millions of uninsured Americans nationally who are eligible for ACA-compliant coverage for the rest of this year via other options. Let's review!
2021 ACA Special Enrollment Period (SEP): If you live in California, Connecticut, the District of Columbia, New Jersey, New York or Vermont, the deadline for the "no questions asked" SEP goes beyond 8/15. In CA, DC & NY it actually runs through the end of the year!
My recent obsession with COVID vaccination rates means that I've fallen embarrassingly behind on my annual ACA rate change project, and nothing illustrates this more than the fact that Covered California issued this press release over two weeks ago and I'm just now getting to writing about it:
The American Rescue Plan will continue to provide lower premiums, at levels never seen before, throughout the entire 2022 coverage year.
The new and expanded financial help has led to a record 1.6 million people enrolled in Covered California, which gives the state one of the healthiest consumer pools in the nation for the seventh consecutive year.
The record enrollment and healthy consumer pool were key factors in negotiating a preliminary rate increase for California’s individual market of just 1.8 percent in 2022, and a three-year average of only 1.1 percent (2020-2022).
With expansions of coverage by several carriers and a new carrier in one region, consumers will have even more choice: All Californians will have two or more choices, 94 percent will be able to choose from three carriers or more, and 81 percent of Californians will have four or more choices.
Consumers can sign up now to benefit from the increased financial help provided by the American Rescue Plan, which is lowering premiums and enabling 700,000 people to get covered for only $1 per month.
For my county-level vaccination rate graphs, I go by FULLY vaccinated only (2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old.
For 42 states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For Colorado, Georgia, New Mexico and Texas, I'm using their COVID vaccine dashboards set up by the state health departments.
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
The 5 major U.S. territories don't vote for President in the general election, preventing me from displaying them in the main graph, but I have them listed down the right side.
Last week I gave a rough estimate of perhaps another 340K more new enrollees via HC.gov for the month of June along with another ~135K via the 15 SBMs, which would bring the grand total up to around 2.57 million nationally.
Five days ago I noted that, based on an offhand comment I heard during a White House webinar about the ongoing ACA Special Enrollment Period, it sounds like HealthCare.Gov quietly added over 100,000 new enrollees during the final week of July.
Based on this and the existing data I have from HealthCare.Gov and the 15 state-based ACA exchanges, I concluded that:
Also, as always, remember that everything above refers to the federal exchange only; the 15 states which operate their own ACA exchanges comprise roughly 29% of the 2.1 million QHP selections nationally as of the end of June. A couple of state-based exchanges have already terminated their own SEPs (Idaho, Minnesota and Massachusetts), but the rest are still chugging along, so assuming a similar ratio for July, that would put the monthly total at around 475,000 nationally, for a grand total of roughly 2.57 million or so as of July 31st.
Welp. Back in March, I wrote a 3-part series about what types of healthcare policy improvements/upgrades might be in the offering now that Democrats have taken control of the White House, (just barely) retained control of the House of Representatives and (just barely) taken control of the Senate (mostly).
Given the razor-thin margins in both the House and especially the Senate, I was already cautioning people to pare back expectations for the 117th Congressional Session. No, Medicare for All wasn't gonna happen. No, Medicare for America wasn't gonna happen. I already knew that even President Biden's own less-dramatic federal Public Option was unlikely to happen.
At the time, however, it did seem like at least a few Big Ticket items might make the cut, hopefully including:
Today, the Centers for Medicare & Medicaid Services (CMS) released new data that shows returning consumers can save, on average, 40% off of their monthly premiums because of enhanced tax credits in the American Rescue Plan (ARP), which President Biden has proposed to extend as part of his Build Back Better Agenda. Since the implementation of the tax credits on April 1, 2021, 34% of new and returning consumers have found coverage for $10 or less per month on HealthCare.gov. A state-by-state breakdown of savings is available here.
...Blue Counties (ones where Donald Trump received less than 45% of the vote last November) have increased their collective vaccination rate by 10% more per capita than the Red Counties (where Trump received more than 55% of the vote) since July 21st. This is the first time that I've compared how the relative rates have changed over time, so I have no idea if this gap represents an increase or decrease from earlier this spring or summer.
I go by FULLY vaccinated only (2 doses of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine).
I base my percentages on the total population, as opposed to adults only or those over 11 years old.
For 42 states + DC I use the daily data from the Centers for Disease Control, but there are some where the CDC is either missing county-level data entirely or where the CDC data is less than 90% complete at the county level. Therefore:
For Colorado, Georgia, New Mexico and Texas, I'm using their COVID vaccine dashboards set up by the state health departments.
For California, I'm using the CDC data for most counties and the state health dept. dashboard data for the 8 small counties which the CDC isn't allowed to post data for.
The 5 major U.S. territories don't vote for President in the general election, preventing me from displaying them in the main graph, but I have them listed down the right side.
Over the past few weeks, as the Delta COVID-19 variant has surged across the country and COVID vaccination rates have plummeted, there's been a growing cry from many vaccinated Americans. Here's just a few examples:
Step up private sector. Mandate vaccinations for employees and consumers. Looking at you health insurance companies. Add insane premiums for those eligible yet refuse to be vaccinated. Deny hospital coverage for chosen unvaccinated hospital care.
It’s clear that new messaging—along with the obvious employer mandate—is having an impact.
Now’s a good time to require vaccines to fly.
Insurance companies should also raise premiums for the unvaccinated. Smokers pay more. Covid is more deadly than smoking—and it’s contagious. https://t.co/ob9d9ofoIn
Regular readers have no doubt noticed that something like 80% of the new posts here at ACA Signups over the past 2-3 weeks have been obsessively tracking COVID-19 vaccination rates via various metrics (partisanship, income, geographic region, education level, etc). While COVID and the vaccination program are obviously heavily healthcare policy-related, they're also obviously not right at the core of what this site is normally about.
This week I'm finally easing off on the vaccination tracking stuff (I'll only be posting about them here weekly going forward--on Wednesdays--with rare exceptions), I wanted to explain why I've been so obsessive about this. A Twitter thread by nurse Julia Pulver (an old friend of mine here in Michigan) explains it better than I could. I've converted her thread into a more blog-friendly format with her permission:
One of the most traumatic experiences I ever had in an ICU was performing end of life care for a 34yr mother of 3. She had advanced breast cancer & there was nothing more that could be done-she was in multi-system organ failure.
