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Drummond Rennie, MD; Phil B. Fontanarosa, MD, MBA

JAMA. 2006;295:2182-2183.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The number of individuals in the United States who are unable to access medical care because they are underinsured or lack any insurance at all continues to increase. An estimated 61 million persons aged 19 to 64 years were uninsured or underinsured in 2003.¹ The peculiarly US system of basing insurance on employment is collapsing in the face of businesses that are no longer making this same commitment to their employees. A recent analysis² based on data from the 2001 Medical Expenditure Panel Survey found that 22 million of 112.8 million individuals who are working in the United States were not offered health insurance, and 56% of employees in firms with fewer than 25 employees had employer-based coverage. Another recent report³ indicates that the number of uninsured US citizens increased by 6 million between 2000 and 2004, with this increase primarily due . . . [Full Text of this Article]

Author Affiliations: Dr Rennie (drummond.rennie@ucsf.edu) is Deputy Editor and Dr Fontanarosa is Executive Deputy Editor, JAMA.