id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
en-wikipedia-org-4921		Health care in the United States - Wikipedia			.html	text/html	21842	2427	66	A 2003 study estimated that 16 million United States adults were underinsured, disproportionately affecting those with lower incomes – 73% of the underinsured in the study population had annual incomes below 200% of the federal poverty level.[41] Lack of insurance or higher cost sharing (user fees for the patient with insurance) create barriers to accessing health care: use of care declines with increasing patient cost-sharing obligation.[33] Before the ACA passed in 2014, 39% of below-average income Americans reported forgoing seeing a doctor for a medical issue (whereas 7% of low-income Canadians and 1% of low-income British citizens reported the same).[42]	./cache/en-wikipedia-org-4921.html	./txt/en-wikipedia-org-4921.txt