aged 65 and older lived in poverty in 2018. (13) According to the United States Census Bureau, 27,500,000 people did not have health insurance at any point in 2018. (14) According to the Federal Reserve, 25 percent of adults reported skipping medical care, such as a visit to a doctor or dentist, because they were unable to afford the cost in 2019. (15) Minority and low-income individuals are disproportionately affected by air pollution and are more likely to face health conditions that put them at greater risk when exposed to hazardous air pollution. (16) Families living in poverty also struggle to afford childcare, housing, utilities, and food expenses. (17) According to the United States Census Bureau, households with incomes less than the Federal poverty level who pay for childcare spend on average four times the percentage of their income on it as do other families. (18) In 2017, 83 percent of renter households with incomes below $15,000 paid more than 30 percent of their total household income for housing, experiencing housing costs burdens, and 72 percent paid more than 50 percent of their income for housing, experiencing severe cost burdens. (19) Water and wastewater bills are increasingly unaffordable for millions of households nationwide. (20) According to the Energy Information Administration, nearly one-third of United States households reported facing a challenge in paying energy bills or sustaining adequate heating and cooling in their homes in 2015. (21) More than 20,000,000 Americans lack access to any broadband whatsoever and many more are unable to adopt broadband, primarily due to prohibitive costs. (22) Limited access to technology and broadband services makes it difficult for people to apply for jobs online, connect with health insurance, apply for financial aid, telework, or complete online homework. (23) According to the Department of Agriculture, 37,200,000 people, including 11,200,000 children, lived in food-insecure households in 2018. (24) 5,600,000 households had very low food