Poverty Rate Soars to Record High in 2010

Poor manAccording to the annual poverty data released by the Census Bureau yesterday, there were 46.2 million Americans living in poverty in 2010, up from 43.6 million in 2009 (an increase of 2.6 million). In other words, more than1 in 6 Americans were poor in 2010. This is the highest number since the Census Bureau began gathering data 52 years ago, superseding last year’s all-time high.

The national poverty rate climbed to 15.1 percent in 2010, an increase over 2009’s rate of 14.3 percent. This is the fourth yearly increase. The South was hit hardest, as its poverty rate climbed by 1.2 percent—twice the rate of any other region in the country.

Experts believe that these figures understate the real level of poverty in the U.S. For example, many more young adults are staying or moving back home because they can’t find jobs, and others have doubled up with friends and relatives. If only their incomes, as opposed to the entire household’s, are counted, then instead of the official poverty rate of 8.4 percent, 45.3 percent would be in poverty.

Additionally, the government’s methodology for determining poverty inadequately measures the real poverty rate in America. The federal poverty line of $22,314a yearfor a family of four and $11,139 for an individual is based on methodology designed in the early 1960s that fails to capture people’s spending and living needs in today’s economy.

The Census Bureau will release a Supplemental Poverty Measure in October 2011. This new measure, which the Bureau announced last March, is intended to provide an alternative, modernized measure of economic well-being. It will use a more accurate measure of a family’s income by including income from government programs (e.g., tax credits, nutritional support, housing and energy assistance), while deducting expenses (e.g., child support obligations, child care costs, work expenses, taxes and medical costs). It will not replace the official poverty measure and will not be used to determine eligibility for government programs. 

Income
Middle-class American families’ income fell in 2010. The median household income fell 2.3%, or $1,154, in 2010, adjusting for inflation. Overall, median income has changed very little compared to rising consumer prices over the last 30 years. Adjusted for inflation, the middle-income family earns only 11% more than they did in 1980, while the top 5% richest Americans saw their incomes surge 42%.

Income inequality has also increased. The top-earning 20 percent of Americans—those making more than $100,000 each year—received 49.4 percent of all income generated in the U.S., compared with the 3.4 percent earned by those below the poverty line. That ratio of 14.5-to-1 was an increase from 13.6 in 2008 and nearly double a low of 7.69 in 1968. Between 1999 (the year that household incomes peaked before the 2001 recession) and 2010, income at the 50th and 10th percentiles declined 7.1 percent and 12.1 percent respectively, while the decline in income at the 90th percentile was only 1.5 percent. Although there was no change in the income ratios in the 90th to 10th percentile, the 90th to 10th percentile income ratio increased from 10.42 to 11.67 percent. Households in the top 20 percent by income saw incomes fall by 0.7 percent, while those in the bottom 20 percent saw incomes fall by over six times as much—4.5 percent—in inflation-adjusted dollars.

Households in the Midwest, South and West experienced declines in real median income between 2009 and 2010. On the other hand, median household income for the Northeast stayed about the same. More detailed state-by-state data will become available when the Census Bureau releases the American Community Survey next week on September 22nd.

Interestingly, the data note that, because more families have “doubled-up households,” the poverty statistics may significantly under count actual household poverty levels.Doubled-up households are defined as households that include at least one "additional" adult: a person 18 or older who is not enrolled in school and is not the householder, spouse, or cohabiting partner of the householder.

In spring 2007, prior to the recession, doubled-up households totaled 19.7 million. By spring 2011, the number of doubled-up households had increased by 2 million to 21.8 million, and the percent rose by 1.3 percentage points from 17 percent to 18.3 percent. Nearly 6 million young adults age 25-34 (14.2 percent) resided in their parents' households, compared with 4.7 million (11.8 percent) before the recession, an increase of 2.4 percent. As noted earlier, while it is difficult to precisely assess the impact of doubling up on overall poverty rates, the poverty rates for young adults age 25-35 would go from 8.4 percent to 45.3 percent if only their income was considered rather than the entire family’s income. 

Minorities
The Census Bureau poverty data show the poverty rate for African-Americans increased faster than for the rest of the population and was just over 27 percent. Blacks and Hispanics were hit particularly hard by the recession. The rate of blacks living in poverty climbed by 1.6 percent, and Hispanics’ rate increased by 1.3 percent. In comparison, the white poverty rate grew by 0.7 percent, and the Asian poverty rate actually fell by 0.4 percent.

One recent analysis concluded that the gap in wealth between white households and households of blacks and Hispanics was the largest in 2009 since the government began publishing data on this topic a quarter century ago. According to the report, about a quarter of all Hispanic (24%) and black (24%) households in 2009 had no assets other than a vehicle, compared with just 6% of white households.

Health Insurance Coverage 
The Census Bureau’s report also showed that the number of people without health care coverage rose to 49.9 million last year from 49.0 million in 2009, though the percentage of uninsured was from the 2009 rate of 16.3 percent. The Northeast and the Midwest appear to have had the lowest uninsured rates in 2010.

The increase in the number of people without health insurance is due mostly to working-age Americans who lost employer-provided insurance in the weak economy. Between 2009 and 2010, the percentage of people covered by employment-based health insurance declined from 56.1 percent to 55.3 percent, while the percentage covered by government health insurance increased from 30.6 percent to 31.0 percent. Reaching a new low, this is the tenth year of decline in the share of people with employer-provided insurance. Interestingly, however, the percentage covered by Medicaid (15.9 percent) was not statistically different from 2009. Moreover, an additional 2% of young adults age 18-24 gained coverage due to the health care reforms that allow them to remain under their parents’ health insurance until the age of 25.

The number of uninsured people isn’t likely to decrease if the unemployment rate remains high. Despite the historic Affordable Care Act health care reform legislation passed last year, many Americans will remain uncovered for a while because many of the Act’s primary expansions in coverage will not take effect until 2014

Children and the Elderly
The share of children under 18 living in poverty also jumped to 22% from 20.7% in the previous year. In 2010, 16.4 million children younger than 18 lived in poverty, compared with 15.5 million in 2009.

Historical Impact of Recessions 
These data cover the first full calendar year after the technical end of the  December 2007-June 2009 recession. The data are bleak but not surprising.

Given that in 2010 the unemployment rate was 9% and the number of Americans who were unemployed for 6 months or more was at an all-time high, the single most important factor in the increase in poverty may be the increase in the number of people who did not work at all last year. Since the start of the recession in 2007, the number of men working full time, year-round with earnings has decreased by 6.6 million, and the number of women has declined by 2.8 million.

Taken together, the data all point to the severe and widespread financial strains of a nation in the throes of an economic crisis. And the Census data report, coming shortly after President Obama’s proposed package of $447 billion in tax cuts and spending to revive job growth and the recovery contained in the American Jobs Act, is almost certain to intensify the debate over the government’s role in helping the poor and unemployed at a time of budget deficits and painful cutbacks in public services.

As the poverty rate approaches levels not seen since Lyndon B. Johnson launched the War on Poverty in 1965, it is crucial that American families tell Congress just how important such government safety nets have been to their economic well-being. The 2010 data show that there has been a sharp increase in those households that are in “deep poverty” (i.e., households living at less than half of the federal poverty level). Deep poverty has risen to an estimated 6.3%—20.5 million people—an increase of more than 25% since 2000. This number is an indicator of “disconnected” households with little meaningful attachment to employment.  As experts note, as government programs to assist those Americans suffering from this economic downturn are cut, it won't take much for “deep poverty” to claim a share of the population the country hasn't seen in over three decades. If that happens, the current poverty numbers, as astounding as they are, will seem meager.

 

Women Will Benefit from Health Care Reform

Mother at the doctor's officeWomen are the most likely to have the greatest contact with the health care system, as they often coordinate health care for themselves and their families. Yet women face unique barriers to obtaining and paying for health care. Nearly half of all low-income women are uninsured, and those who are insured are less likely to visit the doctor because of unaffordable out-of-pocket costs. However, things are changing for the better. Thanks to health care reform, low-income women now will face dramatically fewer cost barriers to access health care. The newly passed health care reform law, the Patient Protection and Affordable Care Act of 2010, will make health care more affordable, easier to obtain and provide more comprehensive services, ensuring women receive the care they need. 

Starting January 1, 2014, 8.2 million women whose incomes are at or below 133% of the federal poverty level will now be eligible for health coverage through the expansion of the Medicaid program. According to the National Women’s Law Center, up to 154,300 uninsured, low-income women in Illinois will gain health care coverage through the Medicaid expansion.  Another benefit, this coverage will be more comprehensive and include family planning and contraceptive services that are, without a doubt, a plus for women.

Moderate-income women and their families will also reap the benefits from health care reform with the creation of health insurance exchanges. Women with incomes up to 400% of federal poverty level can receive tax-credits that effectively lower out-of-pocket costs and help pay for health insurance coverage. Up to 7 million uninsured women nationwide and 471,000 women in Illinois will benefit from health insurance exchanges and tax-credits.

All women will benefit from the provision that requires all new individual and small business health plans to carry an “essential benefits package”, which provides coverage for essential services such as maternity care, prescription drug coverage, and mental health services.  Because of the difficulty women have finding these services in the individual market, this coverage marks a vital improvement in providing fundamental services women need.

Women stand to gain greatly from health care reform. In fact, women across socioeconomic levels have already started benefiting from health care reform. The National Women’s Law Center and the Commonwealth Fund have done extensive work to make clear what health care reform means for women. For more information on how health care reform benefits all women, read or subscribe to the latest issue of WomanView, entitled “30 Million Women Will Benefit from Health Care Reform.”

Heidy Robertson coauthored this article.

 

Investing in Our Children by Supporting the All Kids Program

Investing in our children is investing in Illinois. When we help children grow and thrive, we are paving the way for our state’s next generation of healthy workers and leaders. Investing in our children means investing in their health through All Kids--Illinois’ nationally renowned health insurance program. Ensuring that every Illinois child has access to health insurance allows children to grow into healthy, productive adults. And we know that our investment is paying off because of the “All Kids Final Report”--a recently released study of the All Kids program. The Covering All Kids Health Insurance Act mandated the study, and it was conducted by the Health Evaluation Collaborative and Institute for Health Research and Policy at University of Illinois at Chicago School of Public Health. 

The study aimed to measure the progress of the All Kids program in insuring children as well as examine areas for improvement. The study showed that the All Kids program has been hugely successful in helping to cover Illinois’ uninsured children: more than nine out of every ten Illinois children have health insurance coverage—many through the All Kids program or a parent’s workplace. While an overwhelming majority of the children who are eligible for employer-sponsored coverage were enrolled in that coverage, that is not an option afforded to all. Luckily, All Kids is there to catch those kids whose families cannot afford or do not have the choice of employer-sponsored coverage so their families have one less thing to worry about during these difficult economic times.

Since All Kids was first offered, the rate of uninsured children has dropped dramatically. At the beginning of the All Kids program, one out of every five low-income children were uninsured, but today, that number is down to approximately one in twenty low-income children. The majority of this enrollment growth since All Kids became available to all uninsured children is among children who were already eligible before the program was expanded. Children are the least expensive population to insure, and the investment now in their health will pay back in dividends later. Research shows that individuals with access to health care as children are less likely to have chronic health problems as adults.  

The recently released study also showed that children in All Kids were significantly more likely to have received an annual check-up and to have seen a dentist in the last 12 months than uninsured children, which means that they received necessary vaccinations and illnesses could be caught early to allow for more time in the classroom. Parents of All Kids’ enrollees were also more likely to report that their child had a “medical home” than both parents of uninsured children and privately insured children, which means that the state of Illinois has been successful in connecting All Kids’ enrollees to a provider who knows the child's health history and can provide health care on a regular basis. These investments are crucial to ensure Illinois kids are ready to learn and on the right track to become healthy, productive young adults.

The study also highlighted areas for improvement, including connecting All Kids’ enrollees to the care they need. We need to ensure that All Kids enrollees can get appointments with specialty doctors when they need them and that providers and clinics offer expanded hours for working parents to take their children to their primary care provider. Overall, the study findings show that there is much to be proud of with the All Kids program: It is leading the way in covering kids, which benefits our entire state. Every child should be able to count on access to affordable, quality health insurance and care, and supporting the All Kids’ program isn’t just the right thing to do. It’s one of the best investments we can make as a state.

This article was co-authored by Kathy Chan, Associate Director, Illinois Maternal and Child Health Coalition.