Almost half of all Americans with health insurance are covered by their employer. However, when the COVID-19 pandemic hit, millions of Americans lost their jobs, and nearly 30% of the United States residents lost their health insurance coverage. While many have returned to work, health insurance coverage levels are likely still far from normal before the pandemic.
It remains to be seen to what extent the pandemic really impacted health coverage in the United States, but there are a number of U.S. cities where even a small loss of insurance coverage would have resulted in already low levels of coverage. even lower, certainly below the national figure.
Based on the five-year average through 2019, the most recent year for which data is available through the U.S. Census, 10.3% of Americans did not have health insurance coverage. In many US cities, the rate of uninsured was much higher, and a number of cities had more than double the share of uninsured.
To determine the cities with the worst health insurance coverage in each state, 24/7 Wall St. looked at five-year estimates of the percentage of the uninstitutionalized civilian population under age 65 without health insurance as of. American Community Survey 2019 from the US Census Bureau. We looked at the population under 65 because Americans 65 and over are automatically entitled to Medicare benefits. It should be noted that Burlington is the only city in Vermont that meets population requirements and is therefore the state’s least insured city by default, despite having a relatively well insured population.
Health insurance coverage varies widely from state to state. While, as you might expect, the city in each state with the worst health insurance coverage typically has worse coverage than the national average, there are seven states, not including Vermont, where in the city with worst coverage less than 10.3% of residents lack health insurance coverage.
Of the other cities to make this list, it is generally the case in states with worse insurance coverage for those under 65, the city to make this list has particularly low health insurance coverage. Texas has the highest uninsured rate in the country, at 19.4% of the population under 65. The city of San Juan, Texas has the third highest uninsured rate of any place to qualify for this ranking, at 37.2%.
Click here to see the city with the worst health insurance coverage in each state.
Click here to see our methodology.