This suggests that negative personal income shocks are likely to result in lower private health insurance coverage. For instance, in the United States most uninsured people attribute their lack of health coverage to the high cost of premiums (OECD, 2011). Holahan and Chen (2011) report that between 2007 and 2010 the number of US adults without health care coverage increased markedly because of rising poverty rates in addition to a drop in employer-sponsored plans.14 The rise in adults without health coverage was concentrated among low-income people as they could no longer afford to buy private health insurance.