Health care Problems in the IE Lack or Insurance Lack of accessibility

Who is uninsured in the IE As of 2003-lastest stats 17% of the IE’s non-elderly population does not have health care coverage The majority of these adults are employed but not offer job-based insurance, earn low wages and work for small companies

Race and Ethnicity UninsuredInsured 58% Latinos31% Latinos 33% White53% White 4% Asian

AGE UninsuredInsured 21% under 18yrs.39% under 18 42% are between yrs.22% are between yrs. 37% are between 34-64yrs.39% are between yrs.

Gender UninsuredInsured 53% male 49% male 47% female51% female

Poverty Status UninsuredInsured 69% are under 200% EPL38% are under 200% EPL 31% are under 100% EPL17% are under 100% EPL 38% are between % EPL 21% ate btw % EPL

Poverty Guidelines for US 2012 Poverty Guidelines for the 48 Contiguous States and the District of Columbia Persons in family/householdPoverty guideline 1$11, , , , , , , ,890 For families/households with more than 8 persons, add $3,960 for each additional person.

Marital Status UninsuredInsured 41% are married63 % are married 33% are single19% are single 26% are other18% are other

Education (Adult & Parents) UninsuredInsured 72% high school or less45 % high school or less 6% college degree14 % college degree

Citizenship UninsuredInsured 34% are non citizens8% are non citizens 66 % are U.S. born or naturalized citizens92 % are U.S. born or naturalized citizens

Employment Status(Adults) Uninsured Insured 62% are employed73 % are employed 38 % are unemployed27 % are employed

Employment Sponsored Insurance (ESI) UninsuredInsured 83 % are of the working uninsured or eligible for ESI 14 % of the working insured are not offered or eligible for ESI 17 % reject the offer15 % reject the offer

Self-Reported Health Status UninsuredInsured 36 % very good or excellent health61% very good or excellent health 41 % good26 % good 24 % fair or poor13 % fair or poor

Have Regular Source of Care UninsuredInsured 57 %92 %

Location of usual care UninsuredInsured 52 % clinic/hospital25 % clinic/hospital 37 % physician office73 % physician office

So why is there a problem Hourly Wages 1 Adu lt 1 Adu lt, 1 Chil d 1 Adu lt, 2 Chil dren 1 Adu lt, 3 Chil dren 2 Adu lts 2 Adu lts, 1 Chil d 2 Adu lts, 2 Chil dren 2 Adu lts, 3 Chil dren Living Wage $ $ $ $ $ $ $ $ Poverty Wage$5.21$7.00$8.80 $ $7.00$8.80 $ $ Minimum Wage$8.00 $8.0

Income less then expenses San Bernardino Monthly Expenses 1 Adu lt 1 Adu lt, 1 Chil d 1 Adu lt, 2 Chil dren 1 Adu lt, 3 Chil dren 2 Adu lts 2 Adu lts, 1 Chil d 2 Adu lts, 2 Chil dren 2 Adu lts, 3 Chil dren Food$242$357$536$749$444$553$713$904 Child Care$0$550$767$983$0 Medical$139$423$440$422$280$414$387$402 Housing$854 $1,10 8 $1,55 9 $940 $1,10 8 $1,55 9 Transportation$285$555$639$686$555$639$686$698 Other$91$201$246$326$149$192$215$260 Required monthly income after taxes $1,61 1 $3,19 4 $3,73 6 $4,72 5 $2,36 8 $2,90 6 $3,10 9 $3,82 3 Required annual income after taxes $19,3 32 $38,3 28 $44,8 32 $56,7 00 $28,4 16 $34,8 72 $37,3 08 $45,8 76 Annual taxes $2,95 7 $5,84 8 $6,85 7 $8,65 4 $4,34 2 $5,31 5 $5,69 1 $7,00 9 Required annual income before taxes $22,2 89 $44,1 76 $51,6 89 $65,3 54 $32,7 58 $40,1 87 $42,9 99 $52,8 80

Riverside Monthly Expenses 1 Adu lt 1 Adu lt, 1 Chil d 1 Adu lt, 2 Chil dren 1 Adu lt, 3 Chil dren 2 Adu lts 2 Adu lts, 1 Chil d 2 Adu lts, 2 Chil dren 2 Adu lts, 3 Chil dren Food$242$357$536$749$444$553$713$904 Child Care$0$550$767$983$0 Medical$139$423$440$422$280$414$387$402 Housing$854 $1,10 8 $1,55 9 $940 $1,10 8 $1,55 9 Transportation$285$555$639$686$555$639$686$698 Other$91$201$246$326$149$192$215$260 Required monthly income after taxes $1,61 1 $3,19 4 $3,73 6 $4,72 5 $2,36 8 $2,90 6 $3,10 9 $3,82 3 Required annual income after taxes $19,3 32 $38,3 28 $44,8 32 $56,7 00 $28,4 16 $34,8 72 $37,3 08 $45,8 76 Annual taxes $2,95 7 $5,84 8 $6,85 7 $8,65 4 $4,34 2 $5,31 5 $5,69 1 $7,00 9 Required annual income before taxes $22,2 89 $44,1 76 $51,6 89 $65,3 54 $32,7 58 $40,1 87 $42,9 99 $52,8 85

Typical Wages occupational Area Typical Hourly Wage Management$50.67 Business and Financial Operations$32.28 Computer and Mathematical$40.66 Architecture and Engineering$40.79 Life, Physical and social Science$32.75 Community and Social Services $22.10 Legal$47.22 Education, Training and Library$25.18 Arts, Design, Entertainment, Sports and Media$24.37 Healthcare Practitioner and Technical$36.19 Healthcare Support$13.37 Protective Service$22.53 Food Preparation and Serving Related$9.28 Building and Grounds Cleaning and maintenance$11.60 Personal care and Services$10.78 Sales and Related$12.94 Office and Administrative Support$16.65 Farming, Fishing and Forestry$9.04 Construction and Extraction$23.55 Installation, Maintenance and Repair$21.63 Production$13.73 Transportation and Material Moving$13.84

National Unemployment rate according to data from the U.S. Bureau of Labor Statistics.data Yea r JanFebMarApr Ma y JunJulAugSepOctNovDec Ann ual

According t the Sun Newspaper California unemployment rate is 9.6 % which is higher than national at 7.3 %

Lack of Health care and poverty has led to San Bernardino County Fourth most obese area in United States Third highest heart disease rate in state 71% of school children do not meet fitness standards Worst healthy food access in state, with six times as many unhealthy food retail outlets as healthy Two-thirds of adults not meeting recommended physical activity levels

Will the affordable care act help God only knows

References UCLA Center for Health Policy Research,California Health Interview Survey: http// tml Sun Newspaper By Kevin Smith, Staff Writer Posted: 05/16/13, 9:00 PM PDT | County of San Bernardino Health Department: health/programs_services/healthy

References continue California Healthcare Foundation: employer-healthbenefits Living Wage Calculation for Riverside County,California: ounties/ Living Wage Calculation for San Bernardino County,California: wage.mit.edu/counties/0606.4