Extension's National Framework for Health Equity

practices that put the ultimate control of power and wealth in the hands of the few (Borras & Mohamed, 2020).

Health Insurance

On the positive side, the number of uninsured in the U.S. dropped from nearly 46.5 million in 2010 to 28.79 million in 2019 as a result of the Affordable Care Act (KFF, 2020). Still, out of about 30 million uninsured individuals, about half of them are Black. Some of the states with the highest proportion of Black residents were also states that refused to expand Medicaid coverage under the ACA (Kirby & Kaneda, 2010). Additionally, the rate of uninsured individuals has increased each year since 2016 due to the elimination of the ACA’s individual mandate for coverage.


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