Median Income
$35,583
53% lower than US avg
Home Value
$190,200
33% lower than US avg
Bachelor's+
14.2%
58% lower than US avg
Median Rent
$1,129
3% lower than US avg
Obesity Rate
33.7%
5% higher than US avg
Unemployment
6.6%
83% higher than US avg
Poverty Rate
7.4%
40% lower than US avg
How West Canton Compares to the U.S. Average (100% = U.S. avg)
People
Population1,369
Median Age45.9 yrs
Density1,014/mi²
Male / Female47% / 53%
Largest GroupWhite 93%
Veterans6.8%
Economy
C+
Median Income$35,583
Per Capita$32,346
Unemployment6.6%
Poverty7.4%
County GDP$2,601M
Commute24 min
Housing
B+
Home Value$190,200
Rent$1,129
Ownership68.2%
Zillow$283,196
Housing Units650
Rent Burden48.6%
Health
Obesity33.7%
Uninsured9.1%
Smoking15.4%
Depression29.1%
Heart Disease5.6%
Climate
Avg Temp53°F (12°C)
AQI44 (Good)
Rain50.2 in/yr
Elevation2,681 ft (817 m)
Education
C
Bachelor's+14.2%
High School+92.1%
Graduate+2.9%
School Score6.21
Community
2024 VoteR 62% / D 37%
Commute24 min
Broadband66.9%
EV Stations1
Libraries4
Is West Canton a Good Place to Live?
Based on current data, West Canton receives an overall livability score of 2.9 out of 5.0, earning a grade of C+. Key strengths include affordable housing, a low poverty rate. Areas to be aware of include above-average unemployment, below-average incomes. West Canton has some notable strengths but also faces challenges that prospective residents should consider.
Economy & Jobs
The median household income in West Canton is $35,583, 53% below the national average of $75,149. The unemployment rate of 6.6% is somewhat elevated compared to the national rate of 3.6%. Only 7.4% of residents live below the poverty line, well below the national rate of 12.4%. Workers commute an average of 24 minutes.
Cost of Living & Housing
The median home value in West Canton is $190,200, 33% below the national median / offering relatively affordable homeownership. Renters pay a median of $1,129 per month. The price-to-income ratio of 5.3x means housing costs are stretched relative to local earnings.
Education
14.2% of residents hold a bachelor's degree, below the national average of 33.7%. 92.1% have completed high school. Local schools score 6.2/10 in standardized testing, reflecting strong academic performance.
Climate & Weather
West Canton experiences four distinct seasons with an average temperature of 53°F. Winters average 35°F in January while summers reach 71°F in July. Annual precipitation totals 50.2 inches, including 10.9 inches of snow. Air quality is rated Good with a median AQI of 44.
West Canton has a population of 1,369 with a density of 1,014 people per square mile, spread across 1.4 square miles. The median age is 45.9 years, 18% older than the national median of 38.9. The gender split is 53.2% female and 46.8% male. The city is predominantly White (92.8%), with 2.8% Hispanic, 4.8% Black. English is the primary language spoken at home by 97.4% of residents. 6.8% of the population are veterans. 15.2% of residents have a disability. 90.9% have health insurance coverage.
Population
1,369
Total Population
2023 Census
45.9yrs
Median Age
18% above US avg
Race & Ethnicity
West Canton vs U.S. Average
Language Spoken at Home
English Only
97.4%
24% above US avg
Spanish
0.0%
100% below US avg
Social Characteristics
West Canton vs U.S. Average
The median household income in West Canton is $35,583, which is 53% below the national average of $75,149. Per capita income is $32,346 (below the $39,052 national figure). The average weekly wage is $889, 38% lower than the U.S. average. The unemployment rate is 6.6% (above the 3.6% US average). 7.4% of residents live below the poverty line, lower than the national rate of 12.4%. The area has 1,983 business establishments, including 182 restaurants. The cost of living index is 94.3, below the national baseline of 100 / offering relatively affordable living. Workers commute an average of 24 minutes. 5.3% of workers work from home (below the 15.2% national rate).
Income: West Canton vs U.S.
Income
| Median HH Income | $35,583 |
| 53% below US avg |
| Per Capita Income | $32,346 |
| Avg Weekly Wage | $889 |
| IRS Avg AGI | $64,408 |
| Gini Index | 0.453 (0=equal, 1=unequal) |
Employment & Poverty
| Unemployment | 6.6% |
| 83% above US avg |
| Poverty Rate | 7.4% |
| 40% below US avg |
| Establishments (County) | 1,983 |
| County GDP | $2,601M |
Business (County)
| Restaurants | 182 |
| Healthcare | 148 |
| Retail | 243 |
| Manufacturing | 40 |
Tax & Cost of Living
| Property Tax (IRS) | $3,697 |
| 6% above US avg |
| Cost of Living | 94.30 (100=avg) |
| Effective Tax Rate | 1.94% |
Commute & Transportation
| Commute Time | 24.1 min |
| Drive Alone | 90.3% |
| Public Transit | 0.0% |
| Work from Home | 5.3% |
The median home value in West Canton is $190,200, 33% below the national median of $281,900. Zillow estimates the typical home value at $283,196, higher than the Census estimate. According to Redfin, the median sale price is $292,000 with homes selling in an average of 220 days. Homes sell for 95.5% of their list price, suggesting buyers have room to negotiate. Monthly rent averages $1,129 (3% below the national average of $1,163). Fair market rent ranges from $981 for a one-bedroom to $1,161 for a two-bedroom apartment. 68.2% of housing units are owner-occupied. There are 650 total housing units in the city. The median year a home was built is 1976. The average annual property tax is $3,697. 48.6% of renters spend 30% or more of their income on housing, indicating a significant affordability challenge for renters. The home price-to-income ratio is 5.3x, above the traditionally affordable threshold of 3-4x.
Home Values
| Census Median | $190,200 |
| 33% below US avg |
| Zillow ZHVI | $283,196 |
| Redfin Median Sale | $292,000 |
| Median List Price | $324,950 |
Real Estate Market (Redfin)
| Median Sale Price | $292,000 |
| Median List Price | $324,950 |
| $/Sq Ft | $163 |
| Homes Sold | 3 |
| Days on Market | 220 days |
| Sale-to-List Ratio | 95.5% |
| Price Drops | 66.7% |
| Inventory | 6 |
Rental Costs
| Census Median Rent | $1,129 |
| 3% below US avg |
| Rent Burden | 48.6% |
HUD Fair Market Rent
| Studio | $932 |
| 1 Bedroom | $981 |
| 2 Bedrooms | $1,161 |
| 3 Bedrooms | $1,499 |
| 4 Bedrooms | $1,780 |
Ownership & Property
| Homeownership | 68.2% |
| Owner-Occupied | 68.2% |
| Renter-Occupied | 31.8% |
| Housing Units | 650 |
| Median Year Built | 1976 |
Property Tax
| Avg Tax (IRS) | $3,697 |
| 6% above US avg |
| Effective Rate | 1.94% |
In West Canton, 33.7% of adults are obese, above the national rate of 32.1%. 9.2% have diabetes. Heart disease affects 5.6% of residents. 32.4% have high blood pressure. 15.4% are current smokers. 17.9% report binge drinking. 22.4% are physically inactive. 29.1% report depression (above the 20.0% national average). 19.1% experience frequent mental distress. 9.1% of residents lack health insurance. The primary care physician ratio is 1:1,453. The dentist ratio is 1:2,236. 72.4% of residents have access to exercise opportunities. The food environment index is 7.8 out of 10.
Health Metrics: West Canton vs U.S. Average (%)
Chronic Conditions
| Obesity | 33.7% |
| 5% above US avg |
| Diabetes | 9.2% |
| Heart Disease | 5.6% |
| High Blood Pressure | 32.4% |
| Asthma | 11.2% |
| COPD | 6.9% |
| Cancer | 7.4% |
| Stroke | 3.0% |
Behaviors & Mental Health
| Smoking | 15.4% |
| 10% above US avg |
| Binge Drinking | 17.9% |
| Physical Inactivity | 22.4% |
| Depression | 29.1% |
| Mental Distress | 19.1% |
| Physical Distress | 12.8% |
| Short Sleep | 35.0% |
Healthcare Access
| Insurance Rate | 90.9% |
| Uninsured | 9.1% |
| 6% above US avg |
| Primary Care | 1:1,453 |
| Dentists | 1:2,236 |
| Mental Health | 1:246 |
| Checkup Rate | 76.0% |
| Dental Visits | 58.5% |
| Premature Death | 10,920/100K |
Food & Exercise
| Food Environment | 7.8/10 |
| Exercise Access | 72.4% |
| Healthcare Facilities | 148 |
West Canton experiences four distinct seasons with an average annual temperature of 53°F (12°C). Winters average 35°F in January while summers reach 71°F in July. Annual precipitation totals 50.2 inches (wetter than the 38-inch national average). The area receives 10.9 inches of snow annually. Air quality is rated Good with a median AQI of 44. 79% of days have good air quality. The city sits at an elevation of 2,681 feet.
Temperature
35°F Jan (2°C)
71°F Jul (22°C)
| Annual Average | 53.2°F |
| 1% below US avg |
| January Average | 35°F (2°C) |
| July Average | 71°F (22°C) |
Geography
| Elevation | 2,681 ft (817 m) |
| Area | 1.4 sq mi (3.5 km²) |
| Population Density | 1,014/sq mi |
| Coordinates | 35.5384°N, 82.8671°W |
| Timezone | America/New_York |
| County | Haywood County County |
| Nearest Airport | Asheville Regional (AVL) 20 miles away |
Precipitation & Snow
Annual Rainfall
50.2"
32% above US avg
Wettest Month (Dec)
4.71"
Air Quality
| AQI Median | 44.0 |
| Rating | Good |
| Good Days % | 78.5% |
| Unhealthy Days | 1 |
Air Pollutants (EPA 2023)
| Ozone (O₃) | 0.0486 ppm |
| SO₂ (Sulfur Dioxide) | 0.58 ppb |
Natural Hazard Risk
| Overall Risk | Relatively Low |
| Risk Score | 77.2 / 100 |
| Social Vulnerability | 61.1 / 100 |
| Community Resilience | 52.5 / 100 |
Hazard Breakdown
| Tornado |
Relatively Low |
| Hurricane |
Very Low |
| Earthquake |
Relatively Low |
| Wildfire |
Very Low |
| Flood |
Relatively Moderate |
| Hail |
Relatively Low |
| Strong Wind |
Relatively Moderate |
| Heat Wave |
No Rating |
| Winter Weather |
Relatively Moderate |
| Lightning |
Relatively Moderate |
| Ice Storm |
Relatively Moderate |
| Drought |
Relatively Low |
| Cold Wave |
Relatively High |
| Landslide |
Relatively High |
Source: FEMA National Risk Index v1.20 (Dec 2025)
Earthquake History
127 earthquakes (M2.5+) within 150 km since 1990.
Strongest: M4.1. Most recent: M2.5 on Aug 19, 2025.
| May 10, 2025 |
21 km SE of Greenback, Tennessee |
M4.1 |
101 km |
| Jul 30, 1997 |
6 km NNE of Tazewell, Tennessee |
M3.8 |
124 km |
| Jan 20, 2020 |
2 km NE of Fincastle, Tennessee |
M3.8 |
144 km |
| Jul 5, 1995 |
12 km ESE of Tellico Plains, Tennessee |
M3.7 |
120 km |
| Jun 17, 1998 |
9 km SSE of Coalfield, Tennessee |
M3.6 |
145 km |
| Jun 16, 2006 |
9 km W of Maggie Valley, North Carolina |
M3.4 |
31 km |
| Mar 5, 2019 |
7 km NE of Maynardville, Tennessee |
M3.4 |
115 km |
| Aug 31, 2009 |
2 km NNE of Friendsville, Tennessee |
M3.3 |
117 km |
| Apr 11, 2006 |
5 km NE of Etowah, Tennessee |
M3.3 |
147 km |
| Apr 20, 2010 |
4 km SW of Maryville, Tennessee |
M3.3 |
105 km |
| Jun 4, 2023 |
4 km NNW of West Canton, North Carolina |
M3.2 |
5 km |
| Jul 26, 2001 |
11 km S of New Market, Tennessee |
M3.2 |
81 km |
| May 10, 2006 |
3 km WNW of Madisonville, Tennessee |
M3.2 |
138 km |
| Aug 1, 2009 |
8 km ENE of Ducktown, Tennessee |
M3.2 |
140 km |
| Jul 26, 2001 |
11 km N of Sevierville, Tennessee |
M3.2 |
78 km |
| Apr 29, 2018 |
10 km WSW of Bean Station, Tennessee |
M3.1 |
97 km |
| Nov 10, 1992 |
4 km ESE of Greenback, Tennessee |
M3.0 |
115 km |
| Sep 24, 1991 |
6 km NE of Greenback, Tennessee |
M3.0 |
114 km |
| Apr 13, 2001 |
11 km W of Sneedville, Tennessee |
M3.0 |
118 km |
| Nov 24, 2012 |
7 km NE of Sevierville, Tennessee |
M3.0 |
71 km |
Source: USGS (M2.5+, 1990-2025)
Hurricane History
1 hurricane (Cat 1+) within 500 km since 1980.
Strongest: Category 1. Most recent: Hugo (1989, Cat 1).
| Year |
Name |
Category |
Closest |
| 1989 |
Hugo |
Category 2 |
186 km |
Source: NOAA IBTrACS (Cat 1+, 1980-2026)
Tornado History
184 tornadoes (EF0+) within 100 km since 1950.
Strongest: EF4. Total: 14 fatalities, 291 injuries.
| Date |
Rating |
Distance |
Fatalities |
| May 5, 1989 |
EF4 |
99 km |
2 |
| Apr 27, 2011 |
EF3 |
56 km |
6 |
| Apr 27, 2011 |
EF3 |
65 km |
2 |
| Jul 10, 1980 |
EF3 |
87 km |
0 |
| May 27, 1973 |
EF3 |
94 km |
0 |
| May 10, 1952 |
EF3 |
99 km |
2 |
| Mar 23, 2022 |
EF2 |
76 km |
0 |
| Apr 25, 2020 |
EF2 |
84 km |
0 |
| Apr 13, 2020 |
EF2 |
66 km |
0 |
| Oct 8, 2017 |
EF2 |
87 km |
0 |
| Jan 11, 2012 |
EF2 |
99 km |
0 |
| Apr 27, 2011 |
EF2 |
85 km |
0 |
| May 7, 1998 |
EF2 |
81 km |
0 |
| Jan 7, 1998 |
EF2 |
86 km |
0 |
| Jun 26, 1994 |
EF2 |
78 km |
0 |
| Mar 27, 1994 |
EF2 |
92 km |
0 |
| Apr 4, 1989 |
EF2 |
99 km |
0 |
| Apr 4, 1989 |
EF2 |
93 km |
0 |
| Mar 23, 1979 |
EF2 |
88 km |
0 |
| Jun 28, 1976 |
EF2 |
37 km |
0 |
Source: NOAA SPC (EF0+, 1950-2024)
Wildfire History
20 wildfires (100+ acres) within 100 km.
Largest: ROCK MOUNTAIN (25,224 ac, 2016).
| Year |
Name |
Acres |
Distance |
| 2016 |
ROCK MOUNTAIN |
25,224 |
85 km |
| 2016 |
CHIMNEY TOPS 2 |
14,998 |
60 km |
| 2016 |
TELLICO |
14,172 |
71 km |
| 2000 |
BRUSHY RIDGE |
12,405 |
95 km |
| 2016 |
BOTELER |
8,626 |
90 km |
| 2016 |
PARTY ROCK |
8,572 |
57 km |
| 2016 |
PINNACLE MOUNTAIN |
7,869 |
55 km |
| 2016 |
MAPLE SPRINGS |
7,696 |
98 km |
| 2007 |
LINVILLE COMPLEX (DOBSON KNOB) |
7,151 |
92 km |
| 2016 |
SILVER MINE |
6,082 |
42 km |
| 2001 |
SHARP |
6,039 |
54 km |
| 2022 |
LOST BEAR RX FY2022 |
4,276 |
62 km |
| 2017 |
WHITE CREEK |
4,166 |
95 km |
| 2016 |
CLEAR CREEK |
3,493 |
71 km |
| 2016 |
CAMP BRANCH |
3,234 |
74 km |
| 2023 |
PANTHER KNOB |
3,170 |
78 km |
| 2001 |
LARMAN |
3,072 |
43 km |
| 2000 |
TIPTON HILL |
2,661 |
80 km |
| 1998 |
FOURNEY CREEK |
2,579 |
61 km |
| 2016 |
HALLS TOP |
2,464 |
45 km |
Source: NIFC/IRWIN (100+ acres)
Monthly Weather
| Month |
Avg Temperature |
Precipitation |
Summary |
| January |
35°F (2°C) |
4.6 in |
Coldest |
| February |
38°F (3°C) |
4.3 in |
|
| March |
44°F (7°C) |
4.5 in |
|
| April |
53°F (11°C) |
4.5 in |
|
| May |
61°F (16°C) |
4.2 in |
|
| June |
68°F (20°C) |
4.2 in |
|
| July |
71°F (22°C) |
4.1 in |
Warmest |
| August |
70°F (21°C) |
4.3 in |
|
| September |
64°F (18°C) |
4.3 in |
|
| October |
54°F (12°C) |
3.0 in |
Driest |
| November |
44°F (7°C) |
3.6 in |
|
| December |
38°F (3°C) |
4.7 in |
Wettest |
West Canton has a seasonal temperature swing of 36°F / from 35°F in January to 71°F in July. Total annual precipitation is 50.2 inches, with December being the wettest month (4.7") and October the driest (3.0").
Average costs for common services in West Canton. Prices are estimated based on regional cost of living data and may vary by provider.
Healthcare
| Doctor Visit (Primary Care) |
$236 ($141-$377) |
| Specialist Visit |
$330 ($189-$519) |
| Urgent Care Visit |
$189 ($94-$330) |
| Emergency Room Visit |
$2,075 ($754-$4,715) |
| Dental Cleaning |
$123 ($71-$189) |
| Dental Filling |
$236 ($141-$377) |
View all 40 services
Auto Repair
| Oil Change (Conventional) |
$42 ($24-$71) |
| Oil Change (Synthetic) |
$71 ($47-$113) |
| Brake Pad Replacement |
$283 ($141-$472) |
| Tire Rotation |
$38 ($19-$71) |
| New Tires (Set of 4) |
$566 ($377-$943) |
| Battery Replacement |
$189 ($94-$330) |
View all 18 services
Home Services
| Plumber (Per Hour) |
$94 ($57-$141) |
| Electrician (Per Hour) |
$85 ($47-$132) |
| HVAC Repair |
$377 ($141-$754) |
| HVAC System Install |
$6,601 ($3,772-$11,316) |
| Roof Repair |
$943 ($377-$1,886) |
| Roof Replacement |
$8,487 ($5,187-$14,145) |
View all 25 services
Legal
| Divorce (Uncontested) |
$1,415 ($472-$3,301) |
| Divorce (Contested) |
$14,145 ($4,715-$28,290) |
| DUI Defense |
$4,715 ($1,886-$9,430) |
| Bankruptcy (Chapter 7) |
$1,415 ($754-$2,829) |
| Will Preparation |
$472 ($189-$943) |
| Trust Preparation |
$2,358 ($943-$4,715) |
View all 12 services
Personal Care
| Men's Haircut |
$24 ($14-$42) |
| Women's Haircut |
$52 ($28-$94) |
| Hair Coloring (Full) |
$141 ($71-$236) |
| Manicure |
$24 ($14-$42) |
| Pedicure |
$38 ($24-$61) |
| Massage (1 Hour) |
$75 ($47-$123) |
View all 12 services
Food & Grocery
| Gallon of Milk (per gallon) |
$3.87 ($2.83-$5.19) |
| Dozen Eggs (per dozen) |
$3.30 ($2.36-$4.72) |
| Loaf of Bread |
$3.58 ($2.36-$5.19) |
| Chicken Breast (per lb) |
$4.24 ($2.83-$6.13) |
| Ground Beef (per lb) |
$5.19 ($3.77-$7.07) |
| Rice (per lb) |
$0.94 ($0.57-$1.70) |
View all 20 services
Utilities
| Electricity (Monthly) |
$132 ($75-$236) |
| Natural Gas (Monthly) |
$66 ($28-$141) |
| Water/Sewer (Monthly) |
$66 ($38-$113) |
| Internet (Monthly) |
$66 ($38-$94) |
| Cell Phone Plan (Monthly) |
$61 ($28-$94) |
| Cable TV (Monthly) |
$80 ($47-$141) |
View all 8 services
Transportation
| Monthly Parking (Downtown) |
$189 ($71-$472) |
| Car Insurance (Annual) |
$1,886 ($1,132-$3,301) |
| Bus Pass (Monthly) |
$66 ($28-$123) |
| Taxi/Uber (5-Mile Ride) |
$14 ($7.54-$24) |
| Car Registration (Annual) |
$94 ($28-$236) |
| Driver's License Renewal |
$28 ($14-$71) |
View all 8 services
Education & Childcare
| Daycare (Infant, Monthly) |
$1,132 ($566-$2,358) |
| Daycare (Toddler, Monthly) |
$943 ($472-$1,886) |
| After-School Care (Monthly) |
$377 ($189-$660) |
| Tutoring (Per Hour) |
$47 ($24-$94) |
| SAT/ACT Prep Course |
$943 ($377-$2,358) |
| Private School (K-12, Annual) |
$11,788 ($4,715-$28,290) |
View all 8 services
Pets
| Vet Visit (Routine Checkup) |
$57 ($28-$94) |
| Dog Vaccination (Annual) |
$94 ($47-$189) |
| Dog Grooming |
$57 ($28-$94) |
| Pet Boarding (Per Night) |
$38 ($19-$71) |
| Dog Spay/Neuter |
$283 ($141-$472) |
| Cat Spay/Neuter |
$189 ($94-$377) |
View all 9 services
Childcare
| Center-Based (monthly) |
| Infant | $880 |
| Toddler | $584 |
| Preschool | $472 |
| Family Childcare (monthly) |
| Infant | $774 |
| Toddler | $553 |
| Preschool | $446 |
Source: DOL Women's Bureau (2022)
Frequently Asked Questions About West Canton
What is the population of West Canton?
West Canton has a population of 1,369 residents and is located in North Carolina. The population density is 1,014 people per square mile, spread across 1.4 square miles. The median age of residents is 45.9 years, which is older than the national median of 38.9 years. The population is 53.2% female and 46.8% male.
Is West Canton expensive to live in?
West Canton is more affordable than the national average, with a cost of living index of 94.3 / below the baseline of 100. The median household income is $35,583, 53% below the national average of $75,149. The median home value is $190,200 (33% below the U.S. median). Renters pay a median of $1,129 per month. The home price-to-income ratio is 5.3x, which means housing is a stretch relative to local earnings.
What is the weather like in West Canton?
West Canton has a four-season climate with an average annual temperature of 53°F (12°C). Winter temperatures average 35°F in January, while summers reach an average of 71°F in July. Annual rainfall totals 50.2 inches, with 10.9 inches of snow. Air quality is rated Good with a median Air Quality Index (AQI) of 44.
How is the job market in West Canton?
The unemployment rate in West Canton is 6.6%, somewhat above the national average of 3.6%. Job seekers may face moderate competition. The average weekly wage is $889. There are 1,983 business establishments in the area, including 182 restaurants and food service locations. The average commute time is 24 minutes, and 5.3% of workers work from home.
How much does housing cost in West Canton?
The median home value in West Canton is $190,200. Zillow estimates the typical home value at $283,196. According to Redfin, the median sale price is $292,000, with homes typically selling within 220 days. For renters, the median monthly rent is $1,129. Fair market rent is $981 for a 1-bedroom and $1,161 for a 2-bedroom apartment. The homeownership rate is 68.2%. The average annual property tax is $3,697.
How are the schools in West Canton?
Schools in West Canton score 6.2 out of 10 on standardized testing, near the national average. 14.2% of adults in West Canton hold a bachelor's degree or higher, below the national average of 33.7%. 92.1% have completed high school. 2.9% hold a graduate or professional degree.
How healthy is West Canton?
The obesity rate in West Canton is 33.7% (above the national rate of 32.1%). 15.4% of adults are smokers. 22.4% are physically inactive. 29.1% of residents report depression. 9.1% lack health insurance. 72.4% of residents have access to exercise opportunities. The primary care physician ratio is 1:1,453.
What is transportation like in West Canton?
The average commute in West Canton is 24 minutes, shorter than the national average of 28 minutes. 90.3% of workers drive alone to work, and 5.3% work from home.
What are the demographics of West Canton?
The racial and ethnic makeup of West Canton is 92.8% White, 4.8% Black or African American, 2.8% Hispanic or Latino. 97.4% of residents speak only English at home. 6.8% of the population are military veterans. 15.2% of residents have a disability. 90.9% have health insurance coverage.