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Uninsured Rate Up to 12.3% Amid Turmoil10/21 11:15

   The number of U.S. adults without health insurance is up nearly 3.5 million 
this year, as rising premiums and political turmoil over "Obamacare" undermine 
coverage gains that drove the nation's uninsured rate to a historic low.

   WASHINGTON (AP) -- The number of U.S. adults without health insurance is up 
nearly 3.5 million this year, as rising premiums and political turmoil over 
"Obamacare" undermine coverage gains that drove the nation's uninsured rate to 
a historic low.

   That finding is based on the latest installment of a major survey, released 
Friday. The Gallup-Sharecare Well-Being Index asks a random sample of 500 
people each day whether they have health insurance.

   The survey found that the uninsured rate among adults was 12.3 percent 
during the period from July 1-Sept. 30, an increase of 1.4 percentage points 
since the end of last year. The increase in the number of uninsured is more 
striking because it comes at a time of economic growth and low unemployment.

   The annual sign-up season for subsidized private insurance plans under the 
Affordable Care Act starts Nov. 1, but it may not make much of a difference.

   President Donald Trump has stopped federal payments that reimburse insurers 
for lower copays and deductibles that the Obama-era law requires them to 
provide to people with modest incomes. His administration slashed the 
advertising budget for 2018 sign-ups, cut the length of open enrollment in 
half, and sharply reduced federal grants to groups that help consumers navigate 
the process.

   "The number of uninsured Americans likely will continue to rise," the 
Gallup-Sharecare analysis noted, unless Trump and Congress take steps to 
stabilize insurance markets. A bipartisan bill to restart the canceled insurer 
payments faces opposition from conservatives and Trump has sent mixed signals.

   While "Obamacare" remains politically divisive, its coverage expansion 
helped about 20 million people get health insurance, bringing the uninsured 
rate to a historic low. Continued progress seems unlikely now.

   Next year's premiums for plans sold on the health law's marketplaces are 
expected to increase significantly in many communities, and insurer 
participation is down sharply, with about half of U.S. counties having only one 

   Although consumers who are eligible for ACA subsidies are shielded from 
price hikes, many who buy individual plans get no financial assistance from the 
government. All told, more than 17 million people purchase their own policies.

   Independent experts who reviewed the Gallup-Sharecare findings said they 
appear to confirm other available evidence.

   "The results make sense and they track with the results of other rapid 
surveys," said Matthew Buettgens, a senior research analyst with the Urban 
Institute health policy center. "No one is expecting this open-enrollment 
period to increase enrollment."

   GOP health economist Gail Wilensky said the overall direction of the 
Gallup-Sharecare results seems reasonable, but she'll await confirmation from 
government surveys that take longer to produce results, but dig deeper.

   "The only thing most Republicans in Congress seem to agree on is that they 
don't like the ACA," she said. "Hard to build an alternative legislative 
package without a sounder basis for policy and with the very narrow majority in 
the Senate."

   Except for seniors covered by Medicare, the Gallup-Sharecare survey found 
that the uninsured rate increased among all major demographic groups.

   The loss of coverage was concentrated among middle-aged adults, with the 
uninsured rate rising by 1.8 percentage points among those 35-64 since the end 
of 2016. Households making less than $36,000 a year saw their uninsured rate go 
up by 1.7 percentage points.

   Among Hispanics, the rate increased by 1.6 percentage points, and among 
blacks the increase was 1.5 percentage points.

   The Gallup-Sharecare results are based on telephone interviews conducted 
July 1-Sept. 30, with a random sample of 45,743 adults, aged 18 and older, 
living in all 50 states and Washington, D.C. The margin of error is plus or 
minus 1 percentage point.


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