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Reproduced from The Commonwealth Fund Affordable Care Act Tracking Surveys; Note: Surveys conducted July–Sept. 2013, April–June 2014, March–May 2015, Feb.–April 2016, March–June 2017, Feb.–March 2018. Chart: Axios Visuals

The number of Americans without health insurance is creeping back up, after seeing a big drop once the Affordable Care Act took effect, according to the latest tracking survey from the Commonwealth Fund.

The numbers that matter: About 15.5% of adults are uninsured, by Commonwealth’s count, up roughly three percentage points from the same time in 2016. That represents an increase of about 4 million people, the organization said.

Between the lines: Lower-income families saw the biggest coverage losses. Families making more than about $60,000 per year saw relatively stable coverage levels.

The context: Commonwealth attributes the increase largely to the way Congress and the Trump administration has handled the ACA.

  • The survey accounts for all sources of coverage, not just the individual market or the ACA’s exchanges, but lower-income households are more likely to rely on the exchanges or the ACA’s Medicaid expansion.

Yes, but: Roughly 11.8 million people selected insurance plans through the ACA’s exchanges in the most recent open enrollment period — nearly identical to the number who bought coverage for 2016.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 7 a.m. ET: 19,655,445 — Total deaths: 727,353 — Total recoveries — 11,950,845Map.
  2. U.S.: Total confirmed cases as of 7 a.m. ET: 4,998,802 — Total deaths: 162,425 — Total recoveries: 1,643,118 — Total tests: 61,080,587Map.
  3. Politics: Trump signs 4 executive actions on coronavirus aid — Democrats, and some Republicans, criticize the move.
  4. Public health: Fauci says chances are "not great" that COVID-19 vaccine will be 98% effective — 1 in 3 Americans would decline COVID-19 vaccine.
  5. Science: Indoor air is the next coronavirus frontline.
  6. Schools: How back-to-school is playing out in the South as coronavirus rages on — Princeton, Johns Hopkins, Howard to hold fall classes online.

Elevator anxiety will stifle reopenings

Illustration: Aïda Amer/Axios

Will you step back into an elevator any time soon?

Why it matters: Tens of billions of dollars — and the future of cities around the country — rest on the answer to that question. So long as workers remain unwilling to take elevators, hundreds of billions of dollars' worth of office real estate will continue to go largely unused.

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Brazil coronavirus death toll tops 100,000 and case numbers surpass 3 million

Brazilian President Jair Bolsonaro posted a photo of himself to Facebook congratulating his soccer team, Palmeiras, for winning the state title Saturday, moments after the health ministry confirmed the national COVID-19 death toll had surpassed 100,000.

Why it matters: Brazil is only the second country to confirm more than 100,000 deaths from the coronavirus. On Sunday morning, it became the second country to surpass 3 million cases, per Johns Hopkins. Only the U.S. has reported more. Bolsonaro has yet to address the milestones. He has previously tested positive for COVID-19 three times, but he's downplayed the impact of the virus, which has crippled Brazil's economy.

Editor's note: This article has been updated with the latest coronavirus case numbers and more context.