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Health Insurance

  • In 2024, 92.0 percent of the U.S. population—about 310 million people—had health insurance coverage for at least part of the year.
  • Private insurance remained more common than public programs, with 66.1 percent of individuals enrolled in private coverage compared with 35.5 percent enrolled in public coverage.
  • Among all types of health insurance, employment-based coverage continued to dominate, insuring 53.8 percent of the population for some or all of 2024. This was followed by Medicare (19.1 percent), Medicaid (17.6 percent), direct-purchase plans (10.7 percent), TRICARE (2.8 percent), and VA/CHAMPVA coverage (1.2 percent).
  • The overall private coverage rate increased by 0.7 percentage points from 2023 to 2024, largely due to a rise in direct-purchase insurance enrollment. In contrast, public coverage declined by 0.8 percentage points, driven primarily by a 1.3-point reduction in Medicaid enrollment. During the same period, both Medicare and VA/CHAMPVA saw increases in coverage rates.
  • Insurance coverage trends also shifted by age group. Private coverage increased for both children under 19 and adults ages 19 to 64, rising from 61.2% to 63.0% for children and from 73.1% to 74.0% for working-age adults. At the same time, public coverage decreased for both groups, with children’s public coverage falling from 36.2% in 2023 to 34.2% in 2024

Source: U.S. Census Bureau: https://www.census.gov/library/publications/2025/demo/p60-288.html

 

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  • Overview of Government Structures
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