John* lives in Howell County with his wife. His wife is over 65 and has Medicare, but John is in his early 60s and uninsured. He can’t remember ever having insurance. He works every night delivering newspapers in an adjacent county. John has diabetes that he manages pretty well by paying cash to see the doctor and getting his medicines through a discount program. Still, he describes his financial situation as “just scraping by,” and he has no coverage if he were to get seriously ill or injured. John tried to buy insurance through the Marketplace but found it would cost 92% of his annual income because Missouri hasn’t expanded Medicaid. If we were to expand, he would get coverage for his diabetes and any future health needs.
*Name changed at the request of the individual