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 <title>Health Insurance: Characteristics and Trends in the</title>
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<abstract>More than 1 in 6 nonelderly Americans are today uninsured. The lack of
insurance coverage does not affect all Americans equally, varying widely
among demographic groups as well as geographically. An estimated 42.1
million Americans were uninsured in 1999, which is down from 43.9
million in 1998. While the decline in the number of uninsured in 1999
following a long-term increase is welcome news, it is too early to know
whether this reflects a reversal in the trend. Recent expansions of
public programs, such as the implementation of the State Children&apos;s
Health Insurance Program, and the tight labor market likely contributed
to the improved coverage. Even with these positive factors, the number
of uninsured remains high, and any significant downturn in economic
conditions could lead to a resumption in the growth of their numbers.
The uninsured population is a diverse group, including individuals
working in different industries and firms of all sizes as well as of
different income levels, ages, races and ethnicities, and geographic
locations. This heterogeneous nature of the 42 million uninsured
Americans suggests that consideration of a combination of strategies
must be appropriate in any efforts to expand health insurance coverage.</abstract>
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<note>Testimony</note>
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 <topic>Health insurance</topic>
 <topic>Employee medical benefits</topic>
 <topic>Statistical data</topic>
 <topic>Surveys</topic>
 <topic>Medicaid Program</topic>
 <topic>State Children&apos;s Health Insurance Program</topic>
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