Studies have shown that uninsured people receive less medical care, less timely care and have worse health outcomes. Their lack of insurance coverage is not only a financial burden, it is connected to about 18,000 extra deaths per year among adults. In the Carolinas, the number of uninsured adults has increased significantly due to COVID-related job losses, bringing the collective uninsured rate from 16 percent to 20 percent. Other states have addressed this challenge by expanding their Medicaid programs to cover low-income adults through a provision in the 2010 Affordable Care Act. So far, neither North Carolina nor South Carolina has expanded its Medicaid program.