Uninsured Americans: Numbers and Percentages
Approximately 26–28 million Americans currently lack health insurance, representing about 8–8.3% of the national population. These figures reflect the most recent consolidated data from the U.S. Census Bureau and the CDC for 2025–2026.
National Uninsured Count and Rate (2025–2026)
Census Bureau (Full-Year Uninsured)
26.7 million uninsured for the entire year
7.9% of the U.S. population
This definition counts only those uninsured for the entire year, making it more restrictive.
CDC NHIS (Uninsured at Time of Interview)
28.0 million uninsured
8.3% of the U.S. population
This definition counts individuals uninsured at the moment surveyed, producing a slightly higher figure.
Why the Numbers Differ
The Census Bureau measures people who were uninsured for the entire year, while the CDC measures those uninsured at the time of interview. Because individuals frequently gain or lose coverage during the year, the CDC’s estimate is consistently higher.
Demographic and Structural Trends
Working-age adults (18–64) have an uninsured rate of 11.6%. Children (0–17) have a rate of 5.6%. States that have not adopted Medicaid expansion show nearly double the uninsured rate compared to expansion states (18.1% versus 9.0%). Hispanic adults have the highest uninsured rate at 21.9%, reflecting persistent structural disparities.
Summary Table
| Source | Uninsured Count | Uninsured Rate | Definition |
|---|---|---|---|
| Census Bureau (2025) | 26.7 million | 7.9% | Uninsured all year |
| CDC NHIS (2025) | 28.0 million | 8.3% | Uninsured at time of interview |
Interpretation
The United States has achieved historically low uninsured rates compared to pre‑ACA levels, yet an 8% uninsured rate still represents a substantial structural gap. The burden is concentrated among low‑income adults in non‑expansion states, Hispanic populations, and individuals with unstable employment or intermittent coverage.
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