As the nation considers whether and how to reform the
healthcare system, it is important to consider
differences in health insurance coverage for those living
in rural and urban areas. Analyses of persons under age
65 from the 2004-05 Medical Expenditure Panel Survey
reveal a greater proportion of rural residents than urban
residents who are uninsured or covered through public
sources, especially among those living in remote areas.
Rural adults are at high risk of being uninsured compared
to rural children. Uninsured rates are highest among
adults over age 50 in the most remote rural places.
Compared to urban adults, rural adults are less likely to
be in employment situations where private coverage is