Look at all the uninsured people, where do they all belong?

The uninsured in the United States are mainly poor residents of South and Southwest, Republican-leaning states, the New York Times reports. On the other hand, rates of uninsured people have dropped to single digits in Northeast and upper Midwest states Obamacare went into effect. Still, getting insurance remains problematic in many parts of America. “This year it’s more of a state-specific story” than last year, Enroll America director of data and analytics Ed Coleman said. “There was a pronounced drop pretty much everywhere last year, and we don’t see that pattern again this time around.” Together with Civis Analytics, Enroll has carefully tracked the progress of the Affordable Care Act.

The two firms used a model that includes a large survey conducted in May and tools used by political campaigns to target voters to map out the number of uninsured people and where they live. Though one really doesn’t have to take such home medical supplies Brain Energy caps to realize why Republican-helmed states have fewer insured residents than their Democratic counterparts. The GOP has opposed the Affordable Care Act since it was only a gleam in Obama’s eye. And though several Republican governors have changed their minds and opted for expanding Medicaid, these states still had more uninsured people to begin with so they are understandably slower to catch up – though Pennsylvania, Indiana, and other states that expanded Medicaid later in the game have shown a considerable decrease uninsured rates from last year.

 Medicaid expansion is a major indicator of how many people continue to be without insurance in a particular state. For example, many people who lack insurance in states with a lot of uninsured people are not able to access Obamacare programs because of low incomes plus local lawmakers’ decision to eschew Medicaid expansion. In addition to that, the so-called Medicaid gap has sucked over 3 million people in 19 states who are to poor for subsidies and can’t get into government programs. Furthermore, less people than analysts expected signed up for insurance in the state healthcare exchanges this year – the Congressional Budget Office had expected that 8 million people would buy marketplace plans in 2014, and 21 million would have them by the end of 2016. However, only 6.3 million had enrolled by the end of 2014, and this month, the Department of Health and Human Services estimated the enrollment for 2016 to be 10 million people.

On the plus side, more people have remained insured through work through these two years than the Budget Office had estimated. And a few more states such as Montana are considered expanding Medicaid.

A short but meaningful timeline

·         2013 - only 10 states where the percentage of residents who lacked health insurance was below 9%

·         2014 - the Affordable Care Act reduced the number of uninsured Americans. The biggest changes occurred in states that expanded Medicaid.

·         2015 - Pennsylvania and Indiana joined the states that have expanded Medicaid programs.  States with the highest rates of people without insurance are in the South and Southwest.

Related: What has 2 thumbs and is below 10%? The uninsured rate