Health
People Without Health Insurance


People Without Health Insurance

What does this measure?

The percentage of people under 65 who are not covered by some form of health insurance, including public sources of health insurance like Medicaid and Medicare.

Why is this important?

Health insurance is critical to families' and individuals' access to care, financial security, and peace of mind. Those without insurance may delay needed care and forgo preventive care altogether, which can lead to medical problems that are more serious and expensive to treat. Financial ruin can result if an uninsured family must cope with a major illness or injury. Insurance allows the often-high cost of health services to be spread over many years.

How is our county doing?

In 2018, about 24,500, or 4%, of Essex County residents under age 65 lacked health insurance. Essex is similar to the state rate and well under the national rate of 10%. Essex's rate has dipped slightly from 6% in 2010, similar to changes in the state rate. The national rate was higher and fell more, dropping from 18% in 2010.

The low rates of uninsured in Massachusetts reflect the 2006 adoption of a state mandate to carry health insurance, which pre-dated and served as a model for the national Affordable Care Act.

How do we compare to similar counties?

Both Lake, IL and Westchester, NY had uninsured rates of 7% and 6%, respectively, in 2018, higher than both Essex and Middlesex, MA (4% and 3%, respectively). The rates in Lake and Westchester were down from 13% in 2010.

Notes about the data

Figures are for individuals under 65. Data from before 2008 is not comparable due to a change in the national survey used to collect the information. Data for this indicator are released annually May, with a 2-year lag.

People Without Health Insurance
20082009201020112012201320142015201620172018
United States17%17%18%17%17%17%14%11%10%10%10%
Lake County, IL12%12%13%12%12%13%10%8%7%7%7%
Massachusetts4%5%5%5%4%4%4%3%3%3%3%
Essex County, MA5%5%6%5%5%5%4%3%3%4%4%
Middlesex County, MA4%5%5%4%4%4%3%3%3%3%3%
Westchester County, NY12%12%13%12%12%12%10%8%8%7%6%

Source: U.S. Census Bureau
Notes: Figures are for people under 65. Figures prior to 2008 are not comparable.




Number of People Without Health Insurance
20082009201020112012201320142015201620172018
United States42,872,79845,041,84046,556,80345,725,53544,960,04644,477,97036,013,97029,165,22726,749,66827,423,48527,954,329
Lake County, IL73,29574,22079,65874,50073,17476,79259,63548,59143,17142,34943,398
Massachusetts240,442269,241281,724267,661246,614238,392208,262180,139165,417182,389182,533
Essex County, MA28,35930,64334,86234,27130,66230,26725,42321,93921,25324,32924,519
Middlesex County, MA46,58758,62957,13556,75151,88851,17141,50438,31135,01639,76936,691
Westchester County, NY95,19696,861100,33896,65897,48794,60381,96766,05861,34255,63445,723

Source: U.S. Census Bureau
Notes: Figures prior to 2008 are not comparable.




INDICATORS TREND | ESSEX COUNTY
Prevalence of Overweight Adults Not Applicable
Early Prenatal Care by Mother's Race/Ethnicity Not Applicable
Preterm Births Increasing
Infant Mortality Rate Maintaining
Children with Elevated Blood Lead Levels Decreasing
Children Living in Poverty Increasing
Children Living in Poverty by Race/Ethnicity Not Applicable
Child Abuse and Neglect Increasing
Disengaged Youth Maintaining
Live Births to Teen Mothers Decreasing
Youth Arrests Decreasing
Arts, Entertainment and Recreation Establishments Increasing
Arts, Entertainment and Recreation Employment Maintaining
Tourism Spending Increasing
Voter Participation Rate Decreasing
Charitable Contributions Maintaining
Protected Land Not Applicable
Days with Good Air Quality Increasing
Beach Contamination Increasing
Daily Water Use per Resident Decreasing
Crimes Against People Decreasing
Crimes Against Property Decreasing
Drug-Related Arrests Maintaining
Reports of Domestic Violence Increasing
Incarceration Rates Decreasing
Recidivism Decreasing
Households Without Vehicles Maintaining
Means of Transportation to Work Not Applicable
Traffic Injuries and Fatalities Maintaining
Households With Internet Access Not Applicable
Change in Total Population Increasing
Change in Population by Age/Gender Not Applicable
People 65 or Older Living Alone Decreasing
People with Disabilities Maintaining
Households by Type Not Applicable
Single-Parent Families by Gender Not Applicable
Single-Parent Families by Race/Ethnicity Not Applicable
Change in Population by Race/Ethnicity Not Applicable
Foreign-Born Population Increasing
Language Diversity Increasing
Change in Total Jobs Increasing
Change in Jobs by Sector Not Applicable
Change in Average Salary Increasing
Change in Average Salary by Sector Not Applicable
Average Salary by Sector Not Applicable
Median Earnings by Occupation by Gender Not Applicable
People Entering/Leaving County for Work Not Applicable
Employer Size Not Applicable
Self-Employment Revenue Increasing
Unemployment Rate Maintaining
Unemployment Rate by Race/Ethnicity Not Applicable
Prekindergarten Participation Not Applicable
Female Enrollment in School Not Applicable
Chronically Absent Students Increasing
Per-Student Spending Increasing
Bullying Decreasing
Student Performance on Grade 3 Reading Not Applicable
Student Performance on Grade 8 Math by Student Group Not Applicable
Student Performance on Grade 10 English Language Arts Not Applicable
Student Performance on Grade 10 Math Not Applicable
High School Cohort Graduation Rate Increasing
High School Cohort Graduation Rate by Student Group Not Applicable
Education Levels of Adults Not Applicable
Bachelor's Degree or Higher by Race/Ethnicity Not Applicable
Income in Relation to Poverty Level Not Applicable
People Living in Poverty by Race/Ethnicity Not Applicable
Median Household Income Maintaining
Median Household Income by Race/Ethnicity Not Applicable
Median Household Income by Household Type Not Applicable
Living Wage Rate by Household Type Not Applicable
Households Receiving Temporary Assistance Maintaining
Households Receiving Federal Food Assistance Decreasing
Participation in Food Assistance by Race/Ethnicity Not Applicable
Earned Income Tax Credit Participation Decreasing
Economically Disadvantaged Students Increasing
Median Home Value Increasing
Housing Affordability for Homeowners Increasing
Housing Affordability for Renters Increasing
Homeownership Rates Maintaining
Homeownership Rates by Race/Ethnicity Not Applicable
Homeless Persons Increasing
People Without Health Insurance Decreasing
Medical Care Expenses Increasing
Prevalence of Children with Asthma Maintaining
Prevalence of Overweight Children Maintaining
Diabetes Incidence Decreasing
Chronic Disease Among Older Adults Increasing
Cancer Incidence Decreasing
Cancer Mortality Rate Decreasing
Heart Disease Mortality Rate Decreasing
Mortality Rate Decreasing
People who Smoke Not Applicable
Use of Illegal Drugs Not Applicable
Youth Use of Illegal Drugs Not Applicable
Substance Abuse Treatment Admissions Not Applicable
Drug Overdose Mortality Rate Increasing
Prevalence of Mental Illness Maintaining
Suicide Rate Maintaining
Children Living in Poverty by Race/Ethnicity Not Applicable
Single-Parent Families by Race/Ethnicity Not Applicable
Change in Population by Race/Ethnicity Not Applicable
Unemployment Rate by Race/Ethnicity Not Applicable
Student Performance on Grade 3 Reading Not Applicable
Student Performance on Grade 8 Math by Student Group Not Applicable
Student Performance on Grade 10 English Language Arts Not Applicable
Student Performance on Grade 10 Math Not Applicable
High School Cohort Graduation Rate by Student Group Not Applicable
Bachelor's Degree or Higher by Race/Ethnicity Not Applicable
People Living in Poverty by Race/Ethnicity Not Applicable
Median Household Income by Race/Ethnicity Not Applicable
Participation in Food Assistance by Race/Ethnicity Not Applicable
Homeownership Rates by Race/Ethnicity Not Applicable