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Unfortunately, health insurance premiums are high, as well.

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This creates a dilemma for individuals and families across America.

Its a choice that everyone must make for themselves.

Of the top 10 counties, 9 were in Texas, a statistic that seems like an aberration.

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However, there are a number of factors that may help account for this.

First, Texas is a state in which there is no longer a penalty for not having health insurance.

Second, Texas has a large population of residents with incomes below the poverty level.

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This could make health insurance unaffordable, according to theTexas Medical Association.

Heres a look at the 10 counties in the U.S. with the leasthealth insurance coverage.

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