Woman with bill Lack of insurance and under-insurance—where workers may have some form of medical insurance but face copays or other out-of-pocket expenses that are onerous for low-income workers—continue to be a problems.

A new report by the Brookings Institute shows striking class and racial inequities in the area of medical debt, where nearly 80% of medical debt is held by households with zero or negative net worth, and Black households have medical debt at a rate of nearly 10 percentage points higher than non-Black households.

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