Multiple perspectives on being uninsured and barriers to health coverage in a rural western state

The purpose of this study was to describe the impact of being uninsured and barriers to obtaining health care coverage for people in a rural state. Focus groups and in-depth interviews were conducted with uninsured people, small business owners, health care providers, and key informants (such as state health officials, business leaders, and safety net providers). Uninsured people recognize the difficulties they face trying to obtain insurance and health care because of cost and ineligibility for public programs. Health care providers are frustrated in their care of the uninsured because of inability to obtain needed resources. Small business owners struggle with decisions about whether to provide health insurance or not, and find cost the greatest barrier. The impact of uninsurance on individuals, families, health care providers, and small business owners in a rural state is great, both economically and emotionally. Comprehensive approaches must be taken to increase access to health insurance and health care.