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Reproduced from Alker, et al., 2020, "Children's Uninsured Rate Rises by Largest Annual Jump in More Than a Decade; Chart: Axios Visuals

A record 4.4. million children were without health insurance last year, an increase by about 320,000, an analysis of Census data shows.

Why it matters: After decades of decline, it's the third year in a row the nation has seen an increase in the number of uninsured children.

  • The numbers were recorded during steady economic growth — before the coronavirus and record unemployment.

The big picture: The number of uninsured children began to increase in 2017 as Medicaid and CHIP enrollment began to decline, the analysis from the Georgetown Center for Children and Families shows.

By the numbers: Twenty-nine states experienced growing uninsured rates among children from 2016-2019, with Texas accounting for more than one-third of uninsured children during this time period.

  • New York was the only state that had a significant improvement in uninsured children from 2016-2019.

What to watch: About 300,000 more children may be uninsured by the end of 2020 due to the pandemic, the Urban Institute estimates, meaning the rate of uninsured children will have increased every year under the Trump administration.

The bottom line: Children with health insurance have been proven to have better long-term health, fewer trips to the hospital and ER and better social outcomes like education and income.

Go deeper

Jan 14, 2021 - Health

Drug companies keep raising prices

Illustration: Rebecca Zisser/Axios

More than 100 pharmaceutical companies raised prices on over 600 drugs at the beginning of the new year, according to a new report from the advocacy group Patients for Affordable Drugs.

The big picture: Millions of people have lost their health insurance because of the pandemic, and uninsured patients must often pay the full sticker price for prescription drugs.

Caitlin Owens, author of Vitals
14 mins ago - Health

Who benefits from Biden's move to reopen ACA enrollment

Photo: Chip Somodevilla/Getty Images

Nearly 15 million Americans who are currently uninsured are eligible for coverage on the Affordable Care Act marketplaces, and more than half of them would qualify for subsidies, according to a new Kaiser Family Foundation brief.

Why it matters: President Biden is expected to announce today that he'll be reopening the marketplaces for a special enrollment period, but getting a significant number of people to sign up for coverage will likely require targeted outreach.

1 hour ago - Technology

Big Tech bolts politics

Illustration: Eniola Odetunde/Axios

Big Tech fed politics. Then it bled politics. Now it wants to be dead to politics. 

Why it matters: The social platforms that profited massively on politics and free speech suddenly want a way out — or at least a way to hide until the heat cools.