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Expand chart
Data: Leonard Davis Institute of Health Economics, United States of Care; Cartogram: Andrew Witherspoon/Axios

The financial burden of insurance premiums is growing, especially in sparsely populated states in the South, West and Northeast, according to a new analysis by the Leonard David Institute of Health Economics and United States of Care.

The big picture: Premiums are eating up an increasingly big share of workers' paychecks. And this analysis doesn't include out-of-pocket spending, which is rising even faster.

Between the lines: In 2016, the average national premium for a family plan ate up 30% of median income, including both the employer and employee share. That's up from 28% in 2010.

  • Louisiana had the highest cost burden in 2016, with 37.1% of income going toward premiums. Minnesota had the lowest, at 24.4%.
  • Nationally, premiums grew by 27.7% between 2010 and 2016, while income grew by 19.8%.
  • Most economists view the employer share of premiums as lost wages for workers.

The bottom line: All trends point to health care becoming only more expensive for workers and employers. And the more both groups are forced to pay, the more poignant a political issue it becomes.

Go deeper: Health care costs are skyrocketing, and wiping out wage increases

Go deeper

Biden's Day 1 challenges: Systemic racism

Photo illustration: Sarah Grillo/Axios. Photo: Kirsty O'Connor (PA Images)/Getty Images

Advocates are pushing President-elect Biden to tackle systemic racism with a Day 1 agenda that includes ending the detention of migrant children and expanding DACA, announcing a Justice Department investigation of rogue police departments and returning some public lands to Indigenous tribes.

Why it matters: Biden has said the fight against systemic racism will be one of the top goals of his presidency — but the expectations may be so high that he won't be able to meet them.

Caitlin Owens, author of Vitals
48 mins ago - Health

Most Americans are still vulnerable to the coronavirus

Adapted from Bajema, et al., 2020, "Estimated SARS-CoV-2 Seroprevalence in the US as of September 2020"; Cartogram: Andrew Witherspoon/Axios

As of September, the vast majority of Americans did not have coronavirus antibodies, according to a new study published in JAMA Internal Medicine.

Why it matters: As the coronavirus spreads rapidly throughout most of the country, most people remain vulnerable to it.

Trump set to appear at Pennsylvania GOP hearing on voter fraud claims

President Trumpat the White House on Tuesday. Photo: Chip Somodevilla/Getty Images

President Trump is due to join his personal lawyer Rudy Giuliani in Gettysburg, Pennsylvania, Wednesday at a Republican-led state Senate Majority Policy Committee hearing to discuss alleged election irregularities.

Why it matters: This would be his first trip outside of the DMV since Election Day and comes shortly after GSA ascertained the results, formally signing off on a transition to President-elect Biden.