This study examines the impact of income on the types of health care options available to individuals. Income inequality is growing with the exodus of manufacturing jobs out of the country and an increase in low-wage jobs, part-time jobs, and contract positions that generally do not have health benefits (Shi, Starfield, Kennedy and Kawachi, 1999). In the absence of social policy addressing income inequality, the promotion of primary care can serve as a stopgap strategy to reduce the harmful effects of social inequality (Shi, Starfield, Kennedy, & Kawachi, 1999). Even among higher-income adults, lack of health insurance was associated with significantly reduced use of recommended health services; increasing income did not attenuate the difference in utilization between uninsured and insured adults (Ross, Bradley, Busch, 2006). Efforts to improve the use of recommended health services by the uninsured should focus on patient education and expanding insurance eligibility for low- and high-income adults (Ross, Bradley, Busch, 2006). Medicaid and Medicare coverage, encompassing nearly a third The number of people with disabilities can also represent a barrier to employment in many cases, as the potential loss of such coverage can be a significant barrier to acceptance of employment. a job (Kruse, 1993). For example, largely due to lower employment rates, people with disabilities have lower average family and personal incomes and are more likely to live in poverty and receive means-tested income than people without disabled (Kruse, 1993). Additionally, although the rate of health insurance coverage is similar for both populations, people with disabilities are more likely to receive coverage from Medicare or Med...... middle of article... ...d. 1999. “Income Inequality, Primary Care, and Health Indicators.” The Journal of Family Practice. Flight. 48, No. 4Klien, Alyson. 2010. “Health Care Law Also Gives More Importance to Student Loans.” » Education Week. Flight. 29, Iss. 27, p. 21Kruse, Douglas L. 1998. “Demographic, Income, and Health Care Characteristics.” Monthly work review. Flight. 121, Iss. 9, p. 13Kullgren, Jeffrey T. and Catherine G. McLaughlin. 2010. “Beyond Affordability: The Impact of Nonfinancial Barriers on Access for Uninsured Adults in Three Diverse Communities.” » Journal of Community Health. Flight. 35, Iss. 3, p. 240Shapiro, Joseph P. 1999. “No Time for the Poor.” » US News & World Report. Flight. 126, Iss. 13, p. 57Starr, Paul. 2010. “Last Chance for Health Reform.” The American perspective. Flight. 21, Iss. 3, p. 3Sullivan, Gary. 2010. “Medical Cost Control.” Momentum. Flight. 3, Iss. 2,p.. 30