Commonwealth Fund September 30, 2024

TOPLINES

Even though the number of uninsured people in the U.S. has shrunk by half since the passage of the Affordable Care Act, millions still lack health insurance

The 2024 election presents voters with stark choices that could expand or narrow the availability of affordable, comprehensive coverage

An estimated 26 million Americans, or 8 percent of the U.S. population, lacked health insurance in 2023. Although the United States still lags countries that have universal coverage, today’s uninsured rate represents a sea change from the years prior to the Affordable Care Act (ACA), when nearly twice as many people — 49 million, or 16 percent of the population — lacked health coverage.

But more work is needed to bring affordable, comprehensive...

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