Percentages of non-elderly residents without health insurance varied widely across the state, from a low of 13.9 percent in Wake County to a high of 28.3 percent in Tyrrell County, researchers say.
Lack of health insurance is a particularly acute problem in eastern North Carolina, they found. Eight of the 10 counties with the highest proportion of uninsured lie east of Interstate 95.
Cecil G. Sheps Center for Health Services Research staff conducted the analysis of two years of Current Population Survey data. Drs. G. Mark Holmes and Thomas C. Ricketts wrote the report, "County Estimates of the Number of Uninsured in North Carolina: A 2004 Update." In it, they calculated uninsured rates for state residents under age 18 and between ages 18 and 64.
Holmes is a research fellow with the Sheps center's Program on Health Economics and Finance and vice president of the North Carolina Institute of Medicine. Ricketts is deputy director for policy analysis at Sheps and professor of health policy and administration at the UNC School of Public Health.
"The uninsured have few reasonable cost options for health care, sometimes forcing them to ignore medical conditions until they become an emergency," Holmes said. "Once in the emergency department of a hospital, the uninsured's medical bills are often shared by everyone. This is a classic example of why it is in the public's best interest to find solutions to the high numbers of uninsured in our state."
Besides Wake and Tyrrell, counties at opposite ends of the coverage spectrum included Mecklenburg with 14.8 percent uninsured and Duplin and Hyde with 26.9 percent and 26.2 uninsured, respectively, he said. Orange County ranked 7th best with 16.3 percent uninsured, a
Contact: David Williamson
University of North Carolina at Chapel Hill