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As initially passed, the ACA was designed to provide universal health care in the U.S.: those with employer-sponsored health insurance would keep their plans, those with middle-income and lacking employer-sponsored health insurance could purchase subsidized insurance via newly established health insurance marketplaces, and those with low-income would be covered by the expansion of Medicaid.
In June 2003, the Maine, US Legislature passed a comprehensive health insurance plan, granting low-cost coverage to all state residents by 2009. [ 1 ] [ 2 ] [ 3 ] The law stated that a semi-private agency would provide coverage to uninsured residents, small businesses, municipalities, and the self-employed. [ 2 ]
Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 85 million low-income and disabled people as of 2022; [3] in 2019, the program paid for half of all U.S. births. [4]
A 2023 survey by the KFF health research firm found that 11% of Medicare beneficiaries delayed or went without their prescription drugs in the previous year due to cost.
A study by the Kaiser Family Foundation published in June 2009 found that 45% of low-income adults under age 65 lack health insurance. [57] Almost a third of non-elderly adults are low income, with family incomes below 200% of the federal poverty level. [57]
For a family, the average health insurance premium cost $25,572 in 2024, combining employer and family contributions, according to KFF. Premiums have increased by half since 2014. Premiums have ...
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