Distribution of adults aged 18-64 years who avoided care due to cost reasons in the past 12 months in the U.S. in 2021, by race and Medicaid expansion status
Characteristic
Expansion states
Nonexpansion states
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Note: Expansion states are those that expanded Medicaid by January 1, 2021.There were 14 states that had not yet expanded Medicaid as of this date. Oklahoma and Missouri are considered non-expansion states for this analysis as they implemented Medicaid in mid-to-late 2021.
Citation formats
Americans who avoided care due to cost reasons by race and Medicaid expansion status
In 2021, ** percent of Hispanic adults residing in Medicaid non-expansion states reported that they had avoided care due to cost reasons in the past year, in comparison to **** percent avoiding care in Medicaid expansion states. In general, fewer adults living in Medicaid expansion states reported avoiding care due to costs, and even racial disparity was lower in comparison to non-expansion states.
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Commonwealth Fund. (March 16, 2023). Distribution of adults aged 18-64 years who avoided care due to cost reasons in the past 12 months in the U.S. in 2021, by race and Medicaid expansion status [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved August 05, 2026, from /statistics/1414957/unmet-healthcare-needs-due-to-costs-in-the-us-by-race-and-medicaid-expansion-status/
Commonwealth Fund. "Distribution of adults aged 18-64 years who avoided care due to cost reasons in the past 12 months in the U.S. in 2021, by race and Medicaid expansion status." Chart. March 16, 2023. ÌÇÐÄÆƽâ°æ. Accessed August 05, 2026. /statistics/1414957/unmet-healthcare-needs-due-to-costs-in-the-us-by-race-and-medicaid-expansion-status/
Commonwealth Fund. (2023). Distribution of adults aged 18-64 years who avoided care due to cost reasons in the past 12 months in the U.S. in 2021, by race and Medicaid expansion status. ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: August 05, 2026. /statistics/1414957/unmet-healthcare-needs-due-to-costs-in-the-us-by-race-and-medicaid-expansion-status/
Commonwealth Fund. "Distribution of Adults Aged 18-64 Years Who Avoided Care Due to Cost Reasons in The past 12 Months in The U.S. in 2021, by Race and Medicaid Expansion Status." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 16 Mar 2023, /statistics/1414957/unmet-healthcare-needs-due-to-costs-in-the-us-by-race-and-medicaid-expansion-status/
Commonwealth Fund, Distribution of adults aged 18-64 years who avoided care due to cost reasons in the past 12 months in the U.S. in 2021, by race and Medicaid expansion status ÌÇÐÄÆƽâ°æ, /statistics/1414957/unmet-healthcare-needs-due-to-costs-in-the-us-by-race-and-medicaid-expansion-status/ (last visited August 05, 2026)
Distribution of adults aged 18-64 years who avoided care due to cost reasons in the past 12 months in the U.S. in 2021, by race and Medicaid expansion status [Graph], Commonwealth Fund, March 16, 2023. [Online]. Available: /statistics/1414957/unmet-healthcare-needs-due-to-costs-in-the-us-by-race-and-medicaid-expansion-status/
