Due to coverage implemented by the Affordable Care Act in 2014, more Americans were able to obtain coverage in 2015, according to a study by the Commonwealth Fund.
Sarah Collins is the Vice President for Healthcare Coverage and Access for the foundation. She said in North Carolina alone, 400,000 people gained health insurance last year.
“People in North Carolina who have family incomes under $50,000 have made gains and coverage and access to care as well,” she said. “So the uninsured rate of people in that income range has dropped from about 42 percent in 2013 to 32 percent in 2015.”
The 10 percent difference is one of the smallest nationwide, with Kentucky’s number of insured climbing 25 percent higher. Collins said the available subsidies that help pay for plans in the marketplace are to thank for the spike in coverage.
“Most people who are buying coverage on their own through the marketplaces are getting a subsidy to help them pay for that coverage,” she said. “And that has just made a dramatic difference in people’s ability to access both insurance and being able to afford insurance, many people for the first time. And being able to access the healthcare they need in a timely way.”
But the Affordable Care Act faces an uncertain future, as the new administration will have to decide whether to keep, amend or get rid it of it altogether. Collins said this would leave many people without health insurance.
“The repeal would mean a loss of a lot of subsidies that most people who are buying coverage on their own in North Carolina are getting to help them afford that care,” she said. “That was kind of the point of the Affordable Care Act, to allow people to afford care through subsidies.”
She also said requiring people to obtain insurance keeps them from only attempting to get it when they are already sick and keeps insurance companies from then turning them down.
“Having people come into the health system when they need care other than waiting until they’re very, very sick is better for everybody and keeps costs at a steady rate of change rather than big jumps when people come into the system when they’re very ill,” Collins said.
The Commonwealth Fund health care evaluation also found that the percentage of uninsured children has gone down, and that people in most states were less likely to say that costs stopped them from going to the doctor when they needed healthcare.
Related Stories
‹
![]()
Equity in Health Care - December 11, 2025What is the state of health care today, both nationally and here in our community? And what needs to be done to address disparities?

Trump Says He Will Renew Efforts to Replace ‘Obamacare’ if He Wins a Second TermWritten by JILL COLVIN and ZEKE MILLER Former President Donald Trump threatened over the weekend to reopen the contentious fight over the Affordable Care Act after failing to repeal it while in the White House, saying he is “seriously looking at alternatives” if he wins a second term. Trump’s comments drew rebuke from Democratic President […]

Medicaid Expansion Breakthrough Within Reach in N. CarolinaWritten by GARY D. ROBERTSON After a decade of vigorous opposition, most North Carolina Republicans have now embraced the idea of expanding the state’s Medicaid program to cover hundreds of thousands of additional low-income adults. Legislative approval finally appears within reach. During the General Assembly session that ended July 1, the GOP-controlled House and Senate passed separate, bipartisan measures […]

High Court Seems Likely to Leave to Health Care Law in PlaceRepublican elected officials and the Trump administration are advancing their latest arguments to get rid of the Affordable Care Act, a long-held GOP goal.

Health Care Is Focus as Barrett Supreme Court Hearing OpensSenate Democrats branded Supreme Court nominee Amy Coney Barrett a threat to the Affordable Care Act and many Americans’ health care Monday at the start of a fast-tracked hearing that Republicans are confident will end with Barrett’s confirmation to replace the late Justice Ruth Bader Ginsburg before Election Day. In a competing effort to approvingly define the 48-year-old Barrett, who […]
![]()
Court: Part of 'Obamacare' Invalid, More Review NeededA federal appeals court on Wednesday struck down “Obamacare’s” now-toothless requirement that Americans carry health insurance but sidestepped a ruling on the law’s overall constitutionality. The decision means the law remains in effect for now. The 2-1 ruling handed down by a panel of the 5th U.S. Circuit Court of Appeals in New Orleans means […]
![]()
NC’s Blue Cross Cutting ‘Obamacare’ Prices Despite ChangesNorth Carolina’s largest health insurer said Tuesday it’s cutting some individual premiums for the first time in over a quarter century, but next year’s savings on subsidized “Obamacare” coverage would have been much larger if Washington had left the law alone. Blue Cross and Blue Shield of North Carolina said it proposed prices to state […]
![]()
PPP: Americans Opposed On Healthcare And HB2, Split On ImpeachmentWhen it comes to healthcare, Americans are surprisingly united against the GOP. (On Neil Gorsuch, we're unsurprisingly apathetic.)
![]()
Don't Expect Trump's Speech To Change The Game: PPPPublic opinion about Donald Trump is highly entrenched - so there's not much that will change it one way or another.
![]()
Affordable Care Act Helps Over 400,000 Find Insurance in NCDue to coverage implemented by the Affordable Care Act in 2014, more Americans were able to obtain coverage in 2015, according to a study by the Commonwealth Fund. Sarah Collins is the Vice President for Healthcare Coverage and Access for the foundation. She said in North Carolina alone, 400,000 people gained health insurance last year. […]
›