The incidental economist looks at unemployment and uninsurance. It should be obvious to more people than it is that given our current economy causes many to not have access to health care except for when they have absolutely no choice, which means the ER. Our current rate of un/underemployment is 15.2%. That number still doesn't include those who are employed but their jobs don't have health benefits or they don't make enough to spare their share of the cost from their pay check. That's a lot of people who are uninsured not through any choice of their own.