Largely because of declines in employer-sponsored insurance, the number of Americans without health insurance increased by 5.1 million between 2000 and 2003. For children, expansions in Medicaid and SCHIP offset the decline in employer-sponsored insurance, and, as a result, the number of uninsured children actually declined by about 250,000 between 2000 and 2003. By contrast, for adults the decline in employer-sponsored insurance was not offset by an increase in public coverage, and the number of uninsured adults increased by 5.4 million. The paper explores how these changes occurred across the income distribution as well as by race, citizenship, region, firm size, and industry.
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