Source: Georgetown University Center for Children and Families analysis of Agency for Healthcare Research and Quality 2018-2019 Medical Expenditure Panel Survey data. The share of survey participants who did not know, refused to answer, or otherwise did not respond to this question are not shown here; data may not sum to 100 percent. Difficulty affording care included not receiving treatment because they could not afford it, delaying receiving treatment because of cost, or living in a family with someone who had problems paying or was unable to pay medical bills. *"Uninsured all or part of the year" estimate is significant at the 90 percent confidence level relative to "Covered year-round" estimate.