In the US, a significant number of citizens are without health insurance, largely due to the high cost of premiums. Many find it difficult to afford coverage, especially those with low income who do not qualify for Medicaid. Additionally, some people are ineligible for insurance due to pre-existing conditions. Others opt not to purchase insurance, betting on their good health to save money. Moreover, confusion about the enrollment process and a lack of awareness about available options also contribute to the uninsured rate.