U.S. healthcare uninsured rises most in near decade, Gallup survey suggests

The number of Americans without healthcare insurance rose by 3.2 million people between 2016 and 2017, or 1.3 percentage points to 12.2 percent, according to a Gallup poll released on Tuesday, the biggest jump in the uninsured rate in nearly a decade.

Several factors likely contributed to the jump, Gallup said, including attempts by Republicans, who control both chambers of Congress and the White House, to repeal and replace the 2010 Affordable Care Act, commonly called Obamacare. The law extended health insurance to 20 million Americans.

Republicans have so far failed to make good on U.S. President Donald Trump's campaign promise to end Obamacare, but they repealed the so-called individual mandate, or requirement that most Americans purchase health insurance or else pay a fine, in a tax bill that passed in December.

The jump in the uninsured followed a consistent decline between 2014 and 2016, the time period when much of Obamacare was being implemented, after peaking at 18 per cent in 2013, Gallup said. With the repeal of the individual mandate and insurance premiums that are likely to continue rising, the uninsured rate will likely increase further in coming years, the pollster said.

The Trump administration has said it was wrong to force Americans to sign up for healthcare, as Obamacare did. It did not immediately respond to a request by Reuters for comment.

The uninsured rate rose among all demographic groups in 2017, except those 65 and older, who qualify for Medicare, the government health insurance program for the elderly. But young adults, blacks, Hispanics and low-income Americans saw the biggest rise in the uninsured rate, Gallup found. Young and healthy consumers, in particular, are needed to help offset the costs of older, sicker and more expensive patients.

The overall jump in uninsured was the biggest since Gallup began the poll in 2008.

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Gallup said media coverage of repeated attempts to repeal and replace Obamacare, former President Barack Obama's signature domestic policy achievement, may have caused confusion among consumers. It also pointed to health insurers who pulled out of the Obamacare individual market due to uncertainty, leaving consumers with fewer and more expensive choices, which may have prompted some to forego coverage.

Trump administration decisions to slash the Obamacare advertising budget by 90 per cent and cut the sign-up period in half also likely played a role in the rise of uninsured Americans, Gallup said.

Methodology

The results of the survey are based on telephone interviews conducted between Oct. 1 and Dec. 31, 2017, as part of the Gallup-Sharecare Well-Being Index, with a random sample of 25,072 adults, aged 18 and older, living in all 50 U.S. states and the District of Columbia. For results based on the total sample of national adults, the margin of sampling error is plus or minus one percentage point at the 95-per-cent confidence level. All reported margins of sampling error include computed design effects for weighting.

Each sample of national adults includes a minimum quota of 70 per cent cellphone respondents and 30 per cent landline respondents, with additional minimum quotas by time zone within region. Landline and cellular telephone numbers are selected using random-digit-dial methods.

— Source: Gallup

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