• Uninsured in Texas – just the facts

    In the comments to my Gov. Perry post yesterday, TIE readers asked for more facts about the uninsured in Texas. Happy to oblige.

    1. Texas is clearly in last place for insurance coverage, with 24.8%; the nearest “competitor” is New Mexico at 21.8%. Massachusetts has the highest rate of coverage, with only 5% uninsured (US Census, Comparison of Uninsured Rates Between States Using 3-Year Averages:  2008-2010).

    2. 16% of uninsured Texans are children, nearly double the national rate, 1.1 million kids:

    Uninsured Estimates of Children 0-17, American Community Survey (ACS), 2009 KFF

    Texas #

    Texas %

    US #

    US %

    Insured 5,758,045 83.7% 67,989,330 91.4%
    Uninsured 1,119,685 16.3% 6,369,023 8.6%
    Total 6,877,730 100% 74,358,353 100%


    3. Most of the uninsured in Texas are Hispanic or Black (59% are Hispanic):

    Distribution of Nonelderly Uninsured by Race/Ethnicity, 2008/2009 KFF

    Texas #

    Texas %

    US #

    US %

    White 1,572,400 26% 23,379,400 47%
    Black 661,000 11% 7,581,100 15%
    Hispanic 3,623,700 59% 15,617,700 31%
    Other 306,200 5% 3,419,700 7%
    Total 6,163,300 100% 49,997,900 100%

    [h/t to Mark in the comments]

    4. Nationally, 13.8% of US-born citizens and 20% of naturalized citizens are uninsured.  45% of non-citizens are uninsured (I couldn’t find 2010 uninsured data by nativity and state):

    Uninsured by Nativity, 2010 US Census (Table 8, p. 26)

    Native Born

    Naturalized Citizen

    Not a Citizen

    Uninsured 36,881,000 3,356,000 9,667,000





    5. Of those 9.6 million uninsured non-citizens (green card residency status not known), more than half (4.973 million) have been in the US for 10 years or longer (US Census, Table HI09, 2010).

    6. A good summary chart on uninsured children:

    7. Health status indicators in Texas are near average and sometimes above average (infant mortality rate), but these statistics are not adjusted for the average age of state residents.

    [UPDATE – Aaron suggests one more:

    8. Uninsured in Texas by race


    Ranks in uninsurance:

    White: 3rd worst
    Black:: 3rd worst
    Hispanic: 10th worst
    Other: 7th worst
    Overall: worst

    Previous TIE coverage on Texas]

    Sources: as linked above; generally see US Census 2010; for a nice report-generating interface, see KFF.

    • Quibble on your #3 – “most are Hispanic or Black” is factual but misleading. The majority of the uninsured are Hispanic, and so “most are Hispanic or Other” or “most are Hispanic or White” are equally true.

      Not normalizing for relative percentage of the population, but the table of data makes it appear there is a lower uninsurance rate for Blacks in Texas than in the rest of the country…