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 For some, their normal monthly income could cover expenses such as premiums, but an unexpected medical bill could be difficult to pay. 

Middle and low-income households in the US are experiencing income volatility, which affects their ability to pay for health care, a new study says. The report from Brookings Economic Studies found that those in the study, working-age adults with a median income of $60,000, were showing signs of economic insecurity. The study found that more than half of the study participants relied on secondary sources of income such as part-time jobs to pay the bills.

Related: Fear of losing health benefits keeps many workers in jobs they don’t like

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