Key Takeaways
- In 2022, 8.6% of the U.S. population, or approximately 28.3 million people, remained uninsured, with rates highest among Hispanic adults at 24.1%.
- Globally, 4.5 billion people lacked full coverage of essential health services in 2019, representing 58% of the world population.
- In the EU, 6.3% of the population reported unmet medical care needs due to cost, distance, or waiting times in 2021.
- The U.S. has 2.6 physicians per 1,000 people as of 2021 WHO data.
- Globally, there are 17.2 nurses per 10,000 people on average in 2020.
- In rural U.S. areas, primary care physician ratio is 39.8 per 100,000 vs 53.3 urban in 2021.
- In the U.S., rural areas have 20% fewer specialists per capita than urban in 2022.
- Globally, 50% of the world's population lives more than 2 hours from the nearest health facility in 2021.
- In rural U.S., 15% report difficulty finding new primary care provider vs 10% urban in 2022.
- In the U.S., Black Americans are 1.5 times more likely to be uninsured than whites in 2022.
- Low-income U.S. households (<100% FPL) have 25.3% uninsured rate in 2022.
- Women in U.S. uninsured at 8.9% vs men 8.3% in 2022.
- In the U.S., 27% of adults skipped care due to cost in 2022.
- Globally, 2 billion people face catastrophic health spending >10% income in 2019.
- In EU, 11% postponed medical visit due to cost 2021.
Global health access is severely unequal, leaving billions without affordable and nearby care.
Barriers to Access
- In the U.S., 27% of adults skipped care due to cost in 2022.
- Globally, 2 billion people face catastrophic health spending >10% income in 2019.
- In EU, 11% postponed medical visit due to cost 2021.
- U.S. rural 19% transportation barrier to care 2022.
- In India, 55% out-of-pocket expenditure on health 2021.
- Canada wait times for specialists average 27.4 weeks in 2023.
- In low-income U.S. 41% delay care affordability 2022.
- Africa 100 million impoverished by health costs yearly 2019.
- UK 7.6% unmet needs due to waiting lists 2022.
- In Brazil, 25% forgo meds due to price 2022.
- U.S. 14 million underinsured facing high costs 2022.
- In China, migrant workers 30% lack local insurance reimbursement 2022.
- Australia 16% bulk-billed GP less in rural 2022.
- In Nigeria, 70% cite cost as care barrier 2021.
- U.S. dental care unaffordable for 30% adults 2022.
- In Germany, 5% unmet due to cost outlier 2022.
- Mexico 48% catastrophic expenditure households 2021.
- In South Africa, 20% transport barrier rural 2022.
- U.S. mental health 50% untreated due to access/cost 2022.
- In Pakistan, 65% out-of-pocket health spend 2021.
- France 8% forgo care financial reasons 2022.
- In Vietnam, 15% delay chronic care costs 2022.
- U.S. prescription drugs unaffordable 29% adults 2022.
- In Indonesia, 40% rural transport barrier 2022.
- Japan elderly 12% home care access issue 2022.
- In the U.S., 25% cite long wait times as barrier 2022.
- Turkey 18% unmet needs cost-related 2021.
- In the U.S., childcare conflicts prevent 10% medical visits 2022.
Barriers to Access Interpretation
Demographic Disparities
- In the U.S., Black Americans are 1.5 times more likely to be uninsured than whites in 2022.
- Low-income U.S. households (<100% FPL) have 25.3% uninsured rate in 2022.
- Women in U.S. uninsured at 8.9% vs men 8.3% in 2022.
- Hispanic U.S. children uninsured 7.7% vs 4.1% white in 2022.
- Elderly poor in EU 12% unmet needs vs 5% non-poor 2021.
- In India, scheduled castes 20% less likely to access hospital care 2021.
- U.S. AIAN population 19.1% uninsured rate 2022.
- Low SES in Brazil 30% higher unmet surgical needs 2022.
- LGBTQ+ youth 25% higher uninsured in U.S. 2022.
- In Canada, Indigenous 12% unmet needs vs 8% non-Indigenous 2021.
- U.S. immigrants 20.3% uninsured vs 7.3% native-born 2022.
- Rural poor in China 15% less outpatient visits 2022.
- In South Africa, black Africans 85% public care dependent, higher barriers 2022.
- U.S. disabled adults 13.7% uninsured 2022.
- In UK, ethnic minorities 1.5x emergency admissions 2022.
- Low-income Australian Indigenous 22% avoid care cost 2022.
- In Mexico, indigenous 40% higher unmet needs 2022.
- U.S. veterans rural 8% less VA access equity 2022.
- In Nigeria, women 25% less facility visits than men 2021.
- Elderly in Japan rural 30% homebound care need unmet 2022.
- U.S. low-education adults 15% higher uninsured 2022.
- In Pakistan, females rural 35% antenatal care gap 2021.
- Transgender U.S. 22% uninsured vs 9% cisgender 2022.
- In France, unemployed 20% more unmet dental care 2022.
- U.S. AIAN women 2x postpartum hospitalization disparity 2022.
Demographic Disparities Interpretation
Geographic Disparities
- In the U.S., rural areas have 20% fewer specialists per capita than urban in 2022.
- Globally, 50% of the world's population lives more than 2 hours from the nearest health facility in 2021.
- In rural U.S., 15% report difficulty finding new primary care provider vs 10% urban in 2022.
- In India, 65% of rural population lacks access to a health facility within 5 km in 2021.
- Australia rural residents travel 80 km average to GP vs 5 km urban in 2022.
- In Canada, northern territories have 1 hospital bed per 1,000 vs 3.5 national average 2022.
- Brazil Amazon region has 0.9 doctors per 1,000 vs 2.7 national in 2022.
- In China, western rural provinces have 1.5 physicians per 1,000 vs 2.5 eastern urban 2022.
- UK rural areas 12% longer wait for specialist vs urban in 2022.
- In sub-Saharan Africa, 80% of rural dwellers >10 km from health post in 2020.
- U.S. Appalachia region uninsured rate 14% vs 9% national in 2022.
- In Russia, Siberian regions have 30% fewer clinics per capita than Moscow 2021.
- Mexico rural indigenous areas 40% lack nearby clinic access 2022.
- In Nigeria, northern rural states 70% >5 km to health facility 2021.
- France overseas territories 25% lower provider density than mainland 2022.
- In Pakistan, Balochistan rural 55% without facility within 10 km 2021.
- U.S. non-metro counties 28% no mental health provider 2023.
- Indonesia outer islands 60% >1 hour to hospital 2022.
- In South Africa, rural Eastern Cape 35% farther access than urban Gauteng 2022.
- Italy southern regions 20% fewer hospitals per 100,000 than north 2022.
- In the U.S., 46% of rural Medicare beneficiaries travel >15 miles for care vs 31% urban 2022.
- Thailand rural north 45% lack sub-district health center access 2021.
- In Egypt, Upper Egypt rural 50% >30 min to facility 2022.
- Germany east vs west 15% disparity in specialist access 2022.
- Vietnam highlands 40% remote from commune health stations 2022.
Geographic Disparities Interpretation
Insurance Coverage
- In 2022, 8.6% of the U.S. population, or approximately 28.3 million people, remained uninsured, with rates highest among Hispanic adults at 24.1%.
- Globally, 4.5 billion people lacked full coverage of essential health services in 2019, representing 58% of the world population.
- In the EU, 6.3% of the population reported unmet medical care needs due to cost, distance, or waiting times in 2021.
- In India, only 37% of the population had any form of health insurance coverage as of 2021.
- In sub-Saharan Africa, health insurance coverage averages 11% across countries, with Ethiopia at just 1% in 2020.
- In the U.S., Medicaid coverage increased by 20.3 million people from 2013 to 2022 due to ACA expansion.
- In Brazil, 75% of the population relies on the public SUS system for healthcare access as of 2022.
- In Canada, 99.2% of the population has public health insurance coverage provincially in 2021.
- In South Africa, only 16% of the population had medical scheme coverage in 2022, leaving 84% reliant on public facilities.
- In Australia, 82% of the population had private hospital insurance in 2023.
- In the U.S., employer-sponsored insurance covered 153.5 million non-elderly people in 2022.
- In Nigeria, less than 5% of the population is covered by health insurance as per 2021 NHIS data.
- In Germany, 90% of the population is covered by statutory health insurance in 2022.
- In Mexico, Seguro Popular covered 52.7 million people before transitioning to INSABI in 2020.
- In the UK, the NHS provides universal coverage to 100% of the population free at point of use.
- In the U.S., children uninsured rate dropped to 5.4% in 2022 from 9.2% in 2019.
- In Indonesia, JKN covered 230 million people or 83.7% of the population in 2022.
- In France, 99.9% of residents have health insurance coverage through universal schemes.
- In Pakistan, less than 1% had private health insurance in 2021 rural areas.
- In Japan, 99.9% of the population is enrolled in public health insurance.
- In the U.S., Marketplace enrollment reached 16.3 million in 2023.
- In Egypt, 48% of the population covered by public health insurance in 2022.
- In Sweden, 100% universal coverage through regional public insurance.
- In the Philippines, PhilHealth covers 94% of the population nominally in 2023.
- In the U.S., uninsured rate for adults aged 18-64 was 10.6% in 2022.
- In Ghana, NHIS covers 40% of the population actively in 2021.
- In the Netherlands, 99.9% have basic health insurance mandatory coverage.
- In Turkey, universal health insurance covers 98% of citizens since 2003.
- In Vietnam, health insurance coverage reached 92% of population in 2022.
- In the U.S., Black non-elderly uninsured rate was 10.8% in 2022.
Insurance Coverage Interpretation
Provider Availability
- The U.S. has 2.6 physicians per 1,000 people as of 2021 WHO data.
- Globally, there are 17.2 nurses per 10,000 people on average in 2020.
- In rural U.S. areas, primary care physician ratio is 39.8 per 100,000 vs 53.3 urban in 2021.
- Germany boasts 4.5 practicing physicians per 1,000 population in 2022.
- In India, doctor-to-patient ratio is 1:1,445 against WHO recommended 1:1,000 in 2022.
- Sub-Saharan Africa has only 1.3 physicians per 1,000 people average in 2020.
- U.S. nurse practitioner density is 11.2 per 10,000 in 2022.
- In Japan, 2.5 physicians per 1,000 population as per 2021 OECD.
- Brazil has 2.2 doctors per 1,000 inhabitants in 2022.
- In Canada, family physicians per 100,000 is 122 in 2022.
- Rural India has 1 doctor per 10,000 people in primary health centers 2022.
- UK has 3.2 general practitioners per 1,000 in 2022.
- In Ethiopia, physician density is 0.07 per 1,000 in 2021.
- U.S. projected primary care shortage of 17,800-48,000 by 2034.
- Australia has 4.2 doctors per 1,000 population in 2022.
- In Nigeria, doctors per 1,000 is 0.4 in 2022.
- France has 3.4 physicians per 1,000 in 2022 OECD data.
- Pakistan rural areas have 0.6 doctors per 10,000 in 2021.
- In South Korea, 2.4 doctors per 1,000 population 2022.
- U.S. dentists per 10,000 is 6.1 in 2021.
- China has 2.2 licensed physicians per 1,000 in 2022.
- In Mexico, physician density 2.4 per 1,000 in 2021.
- Italy 4.0 physicians per 1,000 population 2022.
- In the U.S., 20% of rural counties lack a single OB-GYN in 2022.
- Spain has 4.5 doctors per 1,000 in 2022.
- In Bangladesh, doctor ratio 0.5 per 1,000 in 2022.
- Switzerland 4.3 physicians per 1,000 2022.
- In the U.S., 60 million people live in primary care health professional shortage areas (HPSAs) in 2023.
- Russia has 4.7 doctors per 1,000 population in 2021.
Provider Availability Interpretation
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