编辑“美国”（章节）

====Access to Care and Lack of Insurance====
To make matters worse, a large chunk of the American population is uninsured, and many are forced to go without the care that they need. According to the ACP:<blockquote>The United States is the only wealthy industrialized nation without universal health coverage, a crucial component to ensuring quality health care for all without financial burden that causes delay or avoidance of necessary medical care... nearly 30 million remain uninsured, millions more are underinsured, and the number of uninsured persons is expected to grow.</blockquote>The high rate of uninsured people is extremely troubling, especially seeing as a lack of insurance is associated with increased risk of mortality. A 2009 study in the ''American Journal of Public Health'' said the following on the matter:<blockquote>Uninsurance is associated with mortality. [...] Lack of health insurance is associated with as many as 44 789 deaths per year in the United States, more than those caused by kidney disease.</blockquote>A 2017 study in the ''Annals of Internal Medicine'' validated these findings, saying:<blockquote>The evidence strengthens confidence in the Institute of Medicine's conclusion that health insurance saves lives: The odds of dying among the insured relative to the uninsured is 0.71 to 0.97.<ref>Annals of Internal Medicine | The Relationship of Health Insurance and Mortality: Is Lack of Insurance Deadly?</ref></blockquote>The high costs of US medical care cause a great deal of financial strain for patients. According to a 2019 study in the ''Journal of General Internal Medicine'' (carried out by the American Cancer Society), "medical financial hardship is common among adults in the USA, with nearly 140 million adults reporting hardship in the past year. Among those aged 18–64 years, more than half report problems with medical bills or medical debt; stress or worry; or forgoing or delaying health care due to cost." A 2019 Gallup poll found that 25% of Americans say that they or a family member have put off treatment for a "serious illness" in the past year because of cost, with a further 8% saying they or a family member has put off treatment for a "less serious illness" in the past year.<ref>Gallup Poll | More Americans Delaying Medical Treatment Due to Cost</ref>

Overall, there is strong evidence that the United States' lack of universal healthcare causes tens of thousands of deaths every year, and financial ruin for many more.