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The Working Uninsured

An analysis of worker health coverage among California industries

The Working Uninsured Cover(July 2007) In The Working Uninsured, the Center on Policy Initiatives reveals failings of the employment-based insurance system that working families have relied on for decades.

The study found that less than half of working adults in California get health insurance through their jobs. Very few are able to buy insurance individually and only 15% obtain it through a family member's employer.

That leaves almost 5 million California workers dependent on publicly funded government health programs or completely uninsured.

The report also demonstrates wide disparities among industries, with the lowest rates of employer-provided coverage found in some of the state's largest industries and lowest-paying occupations. Only 20% of workers in the hotel and restaurant industry have health insurance through their employer, compared to 74% in public administration.

The report concludes that public policies are needed to ensure that new jobs include affordable, comprehensive health insurance. Local governments can use their purchasing power and development strategies to promote the growth of jobs with health benefits. State legislation must require an equitable contribution from all employers, at a level sufficient to fund quality healthcare coverage for all workers.


Stay informed on efforts to extend health coverage to all!

Contact Natalie Nava at (619) 584-5744 x 24 or natalie@onlinecpi.org for more information or to order hard copies of The Working Uninsured.


FULL REPORT: The Working Uninsured
(2.4 MB)

UCLA Brief: Job-based insurance declines
New policy brief confirms decline of worker coverage over time

NEWS COVERAGE: Workers Left to Foot the Medical Bills, San Diego Union-Tribune, 7/11/07

NEWS COVERAGE: Job-based Insurance Shrinking, San Francisco Chronicle, 7/11/07

NEWS COVERAGE: Study shows decline in state for job-based health-insurance, Los Angeles Times, 7/11/07

NEWS COVERAGE: Nearly 3M Uninsured Workers in State, VoiceofSanDiego.org, 7/11/07

NEWS COVERAGE: Coverage Spotty in Growing Industries, Ventura County Star, 7/12/07

NEWS COVERAGE: Study Shows Hotels, Restaurants Provide Worst Health Coverage, KPBS Radio, 7/11/07

NEWS COVERAGE: Lack of Insurance Leaves State’s Workers in Unhealthy Position, San Diego Business Journal, 7/16/07

NEWS COVERAGE: Better health coverage, job creation can co-exist. Op-Ed-San Diego Daily Transcript, 7/31/07