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Expand chart
Data: The Commonwealth Fund; Chart: Chris Canipe/Axios

The number of underinsured Americans — meaning, people whose out-of-pocket costs eat up a significant percentage of their income — is steadily climbing, according to a new survey by the Commonwealth Fund.

By the numbers: The increase has been sharpest among those who get insurance through their employers, rising from 17% of insured workers in 2010 to 28% last year, representing 44 million Americans.

  • In the individual insurance market, the rate of underinsured consumers has gone from 37% to 42% in the same time frame.

Why it matters: A person is considered underinsured if their out-of-pocket spending exceeds 5-10% of their income, or if their deductible is more than 5% of their income.

  • By definition, those are patients who have a harder time paying their medical bills.
  • And patients with high deductibles are also more exposed to the full cost of health care services, contributing to the public outcry over health care costs.

Go deeper: Workers' health care costs just keep rising

Go deeper

Franklin Graham worries Trump too old to run in 2024

Graham and Trump at a rally in 2017. Photo: Ralph Freso/Getty Images

The Rev. Franklin Graham says a potential 2024 presidential bid by Donald Trump would "be a very tough thing to do," the prominent Christian leader told "Axios on HBO."

Why it matters: Graham, the president of the Billy Graham Evangelistic Association and Samaritan's Purse, was among Trump's earliest and most prominent evangelical defenders.

15 mins ago - Health

Franklin Graham would help Biden persuade evangelicals on vaccines

The Rev. Franklin Graham would be happy to work with the Biden administration on encouraging evangelicals to get COVID vaccines, he told "Axios on HBO."

  • "I would work with the Biden administration. I would work with the CDC. I would work with all of 'em to try to help save life," he told Axios' Mike Allen.

Why it matters: Evangelicals have expressed high levels of vaccine hesitancy.

15 mins ago - World

Most of Congress silent on Israeli-Palestinian fighting

A Palestinian boy mourns an airstrike victim on Sunday. Photo: Mahmud Hams/AFP via Getty Images

The pitched criticism by conservatives over progressive outrage about the fighting between Israelis and Palestinians overshadows a larger silence by the vast majority of Congress.

Why it matters: In the largely permissive environment, the government of Israeli Prime Minister Benjamin Netanyahu is ratcheting up its military engagement in Gaza. The death toll is rising, and a spectacular weekend attack leveled a building housing the Associated Press and other outside media.