Chuck Purvis
banner
charleypurvis.bsky.social
Chuck Purvis
@charleypurvis.bsky.social
Retired regional transportation planner. #census #gis #progressive #SanFranciscoBayArea #ebicycling #hayward #eastbay #beer #wine #baseball

Data hobbyist. Political Geography. Progressive Politics. Urban Geography. Demographics. #AmericanCommunitySurvey
4/4

The maps shows the 2,486 PUMAs in the United States, the 217 PUMAs in Texas, and the 38 Congressional Districts in Texas.

Texas has 254 counties, ranging from Loving County (population 64) to Harris County (population 4,731,145).
November 5, 2025 at 6:14 PM
3/4

The worst PUMA, in terms of share of population < 65 without health insurance is the "Houston City (North) & Aldine" PUMA at 45.8% uninsured.

The best PUMA is the Massachusett's "Middlesex County (West Central)" PUMA at 0.7% uninsured share.
November 5, 2025 at 6:14 PM
2/4

Historically, PUMAs were used exclusively with the Census Bureau's Public Use Microdata Sample (PUMS). With the advent of the American Community Survey, PUMAs are now also used as a standard tabulation geography. This is great for analysts, since it provides coast-to-coast coverage of ACS data.
November 5, 2025 at 6:14 PM
3/3

All nine Massachusetts congressional districts are in the top 25 best areas (lowest health uninsured shares). Seven California districts are in the top 25., followed by 5 of New York State districts.

The Massachusetts 2nd District (Worcester) has the lowest uninsured share, at 2.6% in 2024.
October 29, 2025 at 6:17 PM
2/3

Texas congressional districts account for 21 of the worst 25 districts, in terms of high share of health uninsured persons, less than 65 years of age. Arizona, Georgia, Florida and New Jersey have one each in the worst 25

The Texas 29th District (Houston/Pasadena) is at 36.3 % uninsured share.
October 29, 2025 at 6:17 PM
Largest US Cities, Ranked by Total Population: 4/4

New York City has 482 thousand uninsured persons, younger than 65. This is 6.9 percent of NYC population.

Largest number of uninsured persons are in Houston (542 K), New York (482K), Los Angeles (316K), Dallas (295K) and San Antonio (266K).
October 15, 2025 at 9:28 PM
Worst places with highest uninsured shares: 3/4

#1: Pasadena, Texas at 33.0% uninsured!

16 of top 25 places are in Texas, including Dallas, Houston and El Paso.

New Jersey has 5 of top 25 places. Florida, 3 of top 25.

All have at least a 19.4 percent uninsured share of population younger than 65
October 15, 2025 at 9:28 PM
Best places with lowest uninsured shares. 2/4

#1: Castro Valley, California at 0.5% uninsured.

13 of top 25 places are in California.

8 of top 25 places are in the SF Bay Area.

All of top 25 are less than 2.8 percent uninsured for population younger than 65.
October 15, 2025 at 9:28 PM
3/3

Massachusetts is the #1 (Best) US State in 2024, in terms of share of persons under 65 WITHOUT health insurance, at 3.3 percent.

Other top 5 best states include #2 Hawaii (4.3%), #3 District of Columbia (5.0%), #4 Vermont (5.4%), and #5 New Hampshire (5.5%)

The US value is 9.8% uninsured
October 14, 2025 at 6:40 PM
2/3

The other states in the top 5 worst list are #2 Georgia (14.0%), #3 Oklahoma (13.7%), #4 Florida (13.6%), and #5 Nevada (13.5%). Oklahoma (2021) and Nevada (2014) adopted Medicaid Expansion programs. The other top three states have not.

www.kff.org/medicaid/sta...
Status of State Medicaid Expansion Decisions | KFF
This page displays an interactive map of the current status of state decisions on the Affordable Care Act's Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below th...
www.kff.org
October 14, 2025 at 6:40 PM
October 13, 2025 at 9:00 PM
October 13, 2025 at 8:59 PM
5/5

The uninsured share for children peaked at 8.57 percent in 2009, and reached a low of 4.46 percent in 2016.

Data for the USA is shown in tabular as well as in an animated line chart.

Questionnaire wording has changed minimally from 2008 to the present.
October 13, 2025 at 8:44 PM
4/5

The uninsured range for middle age adults peaked at 17.56 percent in 2011 and reached a low of 9.68 percent by 2023. Currently (2024), 9.73 percent of middle aged adults have no health insurance.

Children (younger than 19) have the second lowest (best) uninsured for health shares.
October 13, 2025 at 8:44 PM
3/5

The share of young adults (19-34) without health insurance has decreased from a high of 28.75% in 2010 to a low of 13.49% in 2023. Currently (2024), 14.06% of young adults have no health insurance

The second worse group are middle age adults, age 35 to 64.
October 13, 2025 at 8:44 PM