Skip to main content

Sign up for our newsletter.

Quality journalism. Progressive values. Direct to your inbox.

Young people participated in a protest opposing then-candidate for president Donald Trump in Minneapolis on August 19, 2016. (Photo: Fibonacci Blue/Flickr/cc)

Thanks to Trump, 4 Million US Children Are Uninsured as Coverage Declines for Second Year in a Row

Children lost healthcare coverage as Trump delayed CHIP funding, slashed ACA outreach resources, and attacked immigrant families' access to government programs.

Julia Conley

President Donald Trump's administration has succeeded in gutting the the Affordable Care Act and attacking access to healthcare coverage for low-income families—causing the number of uninsured children in the U.S. to climb to more than four million, a study released Tuesday finds.

The Georgetown University Center study found 400,000 children lost their health coverage between 2016 and 2018, making this year the second in a row to see the number of uninsured children rise.

There are now more uninsured children in the U.S. since the Affordable Care Act (ACA) was enacted in 2014. The Georgetown researchers described the increase as part of "a very troubling trend."

"This is another reason we need Medicare for All—the wealthiest country in the history of the world and our healthcare system can't cover children."
—Ted Terry, mayor of Clarkston, Ga.

"The decline in health coverage occurred at a time when children should have been gaining coverage in the private market and is a red flag for policymakers as even more children would likely lose coverage in an economic downturn," said Joan Alker, executive director of the Center.

Alker blamed the decline on "the Trump administration's actions or inactions that have made health coverage harder to access," including the shortening of the ACA enrollment period; fewer resources given to ACA outreach efforts; a delay in implementing CHIP, which covers families that don't have employer-based insurance and don't qualify for Medicaid; and Trump's "public charge" rule, which experts say has deterred immigrant families for applying for government programs.

The uninsured rate among children dropped sharply after the ACA, also known as Obamacare, went into effect. In 2015, four million children had no health coverage, compared with nearly five million in 2014. Georgetown's study reveals that many of the gains made under the Obama administration have been erased by Trump.

Low- to middle-income families have been hit hardest by the decline in health coverage, and the majority of uninsured children are eligible for Medicaid or CHIP but are not enrolled.

Sen. Ron Wyden (D-Ore.) and Rep. Frank Pallone (D-N.J.) sent a letter to Health and Human Services Secretary Alexander Azar on Tuesday, demanding records regarding the health coverage decline and slamming the Trump administration for claiming, as Medicaid administrator Seema Verma has, that the trend is due to low unemployment rates and reduced reliance on government-funded programs.

"This is a disturbing trend that the administration should be looking to correct, but instead, your administration has applauded the enrollment declines among children," wrote Wyden and Pallone. "And while you assert that they are the result of an improving economy, that is simply not borne out by the evidence."

"If children were leaving Medicaid and CHIP and finding coverage elsewhere, then the number and percent of uninsured children would go down," they added.

Ted Terry, the progressive mayor of Clarkston, Georgia, who is running for a Senate seat in 2020, tweeted that Georgetown's study offers "another reason we need Medicare for All."

"The wealthiest country in the history of the world and our healthcare system can't cover children," Terry wrote. "This election is about the moral character of our nation."

Our work is licensed under Creative Commons (CC BY-NC-ND 3.0). Feel free to republish and share widely.

This is the world we live in. This is the world we cover.

Because of people like you, another world is possible. There are many battles to be won, but we will battle them together—all of us. Common Dreams is not your normal news site. We don't survive on clicks. We don't want advertising dollars. We want the world to be a better place. But we can't do it alone. It doesn't work that way. We need you. If you can help today—because every gift of every size matters—please do. Without Your Support We Simply Don't Exist.

'He Isn’t Negotiating, He Is Killing the Bill': Ilhan Omar Slams Joe Manchin

"Thanks to the butchering of Manchin, Sinema, and the greed of their corporate lobbyists," said one critic, the Democrat's Build Back Better plan has been slashed down to just $1.9 trillion in spending.

Jon Queally ·

'Stop Line 5': Valve Turner Forces Shutdown of Enbridge Oil Pipeline in Michigan

"We are here to protect the water, land, and air that support all life, including our own. Line 5 poses an immediate threat to our lives and these actions are taken out of necessity and in self-defense."

Jessica Corbett ·

'Delay Is the New Denial': Study Confirms 99.9% of Scientists Agree on Climate

"It's pretty much case closed for any meaningful public conversation about the reality of human-caused climate change."

Brett Wilkins ·

Exposed: How Pfizer Exploits Secretive Vaccine Contracts to Strong-Arm Governments

"Pfizer has used its monopoly on a lifesaving vaccine to extract concessions from desperate governments," said the report's author, urging action from the Biden administration.

Jessica Corbett ·

'A Toxic Presence in the Party': Ocasio-Cortez Joins Calls for Jay Jacobs to Resign

"India Walton is the Democratic nominee for mayor of Buffalo. No amount of racist misogyny from the old boys' club is going to change that."

Brett Wilkins ·

Support our work.

We are independent, non-profit, advertising-free and 100% reader supported.

Subscribe to our newsletter.

Quality journalism. Progressive values.
Direct to your inbox.

Subscribe to our Newsletter.

Common Dreams, Inc. Founded 1997. Registered 501(c3) Non-Profit | Privacy Policy
Common Dreams Logo