Lancaster County, PA

County

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Population

543,557

0.12% 1-year growth

US Senator

Bob Casey Jr.

Democratic Party

US Senator

Pat Toomey

Republican Party

Median Age

38.7

Poverty Rate

9.97%

Median Household Income

$66,277

4.53% 1-year growth

Median Property Value

$220,500

7.98% 1-year growth

Number of Employees

271,712

1.2% 1-year decline

About

In 2018, Lancaster County, PA had a population of 544k people with a median age of 38.7 and a median household income of $66,277. Between 2017 and 2018 the population of Lancaster County, PA grew from 542,903 to 543,557, a 0.12% increase and its median household income grew from $63,407 to $66,277, a 4.53% increase.

The 5 largest ethnic groups in Lancaster County, PA are White (Non-Hispanic) (81.4%), White (Hispanic) (6.21%), Black or African American (Non-Hispanic) (3.51%), Other (Hispanic) (2.88%), and Asian (Non-Hispanic) (2.17%). NaNk% of the people in Lancaster County, PA speak a non-English language, and 97.4% are U.S. citizens.

The largest universities in Lancaster County, PA are Millersville University of Pennsylvania (1,839 degrees awarded in 2017), Franklin and Marshall College (646 degrees), and Pennsylvania College of Health Sciences (512 degrees).

The median property value in Lancaster County, PA is $220,500, and the homeownership rate is 67.4%. Most people in Lancaster County, PA commute by Drove Alone, and the average commute time is 21.4 minutes. The average car ownership in Lancaster County, PA is 2 cars per household.

Lancaster County, PA borders Cecil County, MD, Harford County, MD, Berks County, PA, Chester County, PA, Dauphin County, PA, Lebanon County, PA, and York County, PA.

Photo by Jerry and Pat Donaho

United States Pennsylvania Lancaster, PA

COVID-19

Daily New Cases by Date

Showing data at the state level for Pennsylvania. Hospitalization data for some states may be delayed or not reported.

This chart shows the number of COVID-19 daily new cases by date in Pennsylvania, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Impact on Employment

Data is only available at the state level. Showing data for Pennsylvania.

This chart shows weekly unemployment insurance claims in Pennsylvania (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Community Mobility

Data is only available at the state level. Showing data for Pennsylvania.

This chart presents movement trends over time in the state of Pennsylvania across different categories of places such as retail and recreation, groceries and pharmacies, parks, transit stations, workplaces, and residential.

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Civics

In the 2016 presidential election, the popular vote in Pennsylvania went to Donald J. Trump with 57.2% of the vote. The runner-up was Hillary Rodham Clinton (37.8%), followed by Other (5.02%). The most partisan county was Fulton County, PA with 84.1% of the vote going to Donald J. Trump running for the Republican Party.

Bob Casey Jr. and Pat Toomey are the senators currently representing the state of Pennsylvania. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Lancaster County, PA is currently represented by 18 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

Voting results not available for Lancaster County, PA. Showing the available data for Pennsylvania.

2016 Election Results

Donald J. Trump (57.2%)
Republican Party
Hillary Rodham Clinton (37.8%)
Democratic Party
Other (5.02%)
Other Party

In the 2016 presidential election, the popular vote in Pennsylvania went to Donald J. Trump with 57.2% of the vote. The runner-up was Hillary Rodham Clinton (37.8%), followed by Other (5.02%).

The following chart shows the popular vote results in Pennsylvania for each registered party from 1976 to 2016.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of Pennsylvania.

Donald J. Trump

Popular Vote for Pennsylvania

57.2% for the Republican Party

Most Partisan Counties in Pennsylvania

Fulton County, PA
84.1% for Donald J. Trump (Republican Party)
Bedford County, PA
82.7% for Donald J. Trump (Republican Party)
Philadelphia County, PA
82.5% for Hillary Rodham Clinton (Democratic Party)

In the 2016 presidential election, the most partisan county in Pennsylvania was Fulton County, PA with 84.1% of the vote going to Donald J. Trump running for the Republican Party.

The following map shows the counties in Pennsylvania colored by their party leaning.

US Senators from Pennsylvania

Senatorial voting results are only available at the state level. Showing data for Pennsylvania.

Bob Casey Jr.

Senator from Pennsylvania

Assumed office on January 3, 2007

Pat Toomey

Senator from Pennsylvania

Assumed office on January 3, 2011

Bob Casey Jr. and Pat Toomey are the senators currently representing Pennsylvania.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in Pennsylvania over time, colored by their political party.

US Representatives from Pennsylvania

Pennsylvania is currently represented by 18 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Lancaster County, PA have changed over time starting in 2008.

Diversity

Lancaster County, PA is home to a population of 544k people, from which 97.4% are citizens. As of 2018, 5.01% of Lancaster County, PA residents were born outside of the country (27.2k people).

In 2018, there were 13.1 times more White (Non-Hispanic) residents (443k people) in Lancaster County, PA than any other race or ethnicity. There were 33.7k White (Hispanic) and 19.1k Black or African American (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Lancaster County, PA

White (Non-Hispanic)
443k ± 719
White (Hispanic)
33.7k ± 3.71k
Black or African American (Non-Hispanic)
19.1k ± 1.91k

10.8%

Hispanic Population

58.8k people

10.8% of the people in Lancaster County, PA are hispanic (58.8k people).

The following chart shows the 7 races represented in Lancaster County, PA as a share of the total population.

Heritage

Foreign-Born Population

5.01%

2018 Foreign-Born Population

27.2k people

4.83%

2017 Foreign-Born Population

26.2k people

As of 2018, 5.01% of Lancaster County, PA residents (27.2k people) were born outside of the United States, which is lower than the national average of 13.7%. In 2017, the percentage of foreign-born citizens in Lancaster County, PA was 4.83%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Lancaster County, PA compared to that of it's neighboring and parent geographies.

Age by Nativity

Median Native-Born Age

± 0.5

Median Foreign-Born Age

± 2.5

In 2018, the median age of all people in Lancaster County, PA was 38.7. Native-born citizens, with a median age of 38, were generally younger than than foreign-born citizens, with a median age of 42. But people in Lancaster County, PA are getting getting younger. In 2017, the average age of all Lancaster County, PA residents was 39.

Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.

Most Common Origin

India
94,480 ± 7,519 people
Dominican Republic
85,267 ± 7,145 people
China
68,580 ± 6,412 people

In 2018, the most common birthplace for the foreign-born residents of Pennsylvania was India, the natal country of 94,480 Pennsylvania residents, followed by Dominican Republic with 85,267 and China with 68,580.

Citizenship

97.4%

2018 Citizenship

97.6%

2017 Citizenship

As of 2018, 97.4% of Lancaster County, PA residents were US citizens, which is higher than the national average of 93.2%. In 2017, the percentage of US citizens in Lancaster County, PA was 97.6%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Lancaster County, PA compared to that of it's neighboring and parent geographies.

Military

Veterans

Most Common Service Period

Vietnam
9,934 ± 1,282
Gulf War (2001-)
4,237 ± 1,195
Gulf War (1990s)
2,894 ± 809

Lancaster County, PA has a large population of military personnel who served in Vietnam, 2.34 times greater than any other conflict.

Economy

Median household income in Lancaster County, PA is $66,277. In 2018, the tract with the highest Median Household Income in Lancaster County, PA was Census Tract 119.01 with a value of $147,586, followed by Census Tract 135.03 and Census Tract 118.01, with respective values of $102,566 and $93,571.

Males in Pennsylvania have an average income that is 1.34 times higher than the average income of females, which is $52,119. The income inequality in Pennsylvania (measured using the Gini index) is 0.469, which is lower than than the national average.

The economy of Lancaster County, PA employs 272k people. The largest industries in Lancaster County, PA are Manufacturing (42,417 people), Health Care & Social Assistance (37,989 people), and Retail Trade (30,749 people), and the highest paying industries are Management of Companies & Enterprises ($96,221), Utilities ($62,440), and Mining, Quarrying, & Oil & Gas Extraction ($55,354).

Wages

Median Household Income

$66,277

2018 value

± $1,352

4.53%

1 Year Growth

± 3.39%

Households in Lancaster County, PA have a median annual income of $66,277, which is more than the median annual income of $61,937 across the entire United States. This is in comparison to a median income of $63,407 in 2017, which represents a 4.53% annual growth.

The following chart shows how the median household income in Lancaster County, PA compares to that of its neighboring and parent geographies.

Wage by Gender in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.

$69,779

Average Male Salary in Pennsylvania

± $1,106

$52,119

Average Female Salary in Pennsylvania

± $786

In 2018, full-time male employees in Pennsylvania made 1.34 times more than female employees.

This chart shows the gender-based wage disparity in the 5 most common occupations in Pennsylvania by number of full-time employees.

Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.

Highest Average Salaries by Race & Ethnicity in Pennsylvania

Asian
$67,044 ± $4,236
White
$54,569 ± $688
Native Hawaiian and Other Pacific Islander
$45,677 ± $16,041

In 2018 the highest paid race/ethnicity of Pennsylvania workers was Asian. These workers were paid 1.23 times more than White workers, who made the second highest salary of any race/ethnicity in Pennsylvania.

This chart shows the race- and ethnicity-based wage disparities in the 5 most common occupations in Pennsylvania by number of full-time employees.

Wage Distribution

The closest comparable wage GINI for Lancaster County, PA is from Pennsylvania.

0.469

2018 Wage GINI in Pennsylvania

0.472

2017 Wage GINI in Pennsylvania

In 2018, the income inequality in Pennsylvania was 0.469 according to the GINI calculation of the wage distribution. Income inequality had a 0.472% decline from 2017 to 2018, which means that wage distribution grew somewhat more even. The GINI for Pennsylvania was lower than than the national average of 0.479. In other words, wages are distributed more evenly in Pennsylvania in comparison to the national average.

This chart shows the number of workers in Pennsylvania across various wage buckets compared to the national average.

Income by Location

Use the dropdown to filter by race/ethnicity.

Highest Median Household Income (Total)

Census Tract 119.01
Census Tract 135.03
Census Tract 118.01

In 2018, the tract with the highest Median Household Income (Total) in Lancaster County, PA was Census Tract 119.01 with a value of $147,586, followed by Census Tract 135.03 and Census Tract 118.01, with respective values of $102,566 and $93,571.

The following map shows all of the tracts in Lancaster County, PA colored by their Median Household Income (Total).

Poverty by Age and Gender

Females 25 - 34

Largest Demographic Living in Poverty

9.97% of the population for whom poverty status is determined in Lancaster County, PA (52.5k out of 526k people) live below the poverty line, a number that is lower than the national average of 13.1%. The largest demographic living in poverty are Females 25 - 34, followed by Females 18 - 24 and then Females 35 - 44.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty

White
39,326 ± 1,521
Hispanic
14,185 ± 924
Black
5,900 ± 626

The most common racial or ethnic group living below the poverty line in Lancaster County, PA is White, followed by Hispanic and Black.

Occupations

Employment by Occupations

272k

2018 Value

± 8,535

-1.2%

1 Year decline

± 4.46%

From 2017 to 2018, employment in Lancaster County, PA declined at a rate of -1.2%, from 275k employees to 272k employees.

The most common job groups, by number of people living in Lancaster County, PA, are Management Occupations (30,205 people), Office & Administrative Support Occupations (29,086 people), and Production Occupations (22,980 people). This chart illustrates the share breakdown of the primary jobs held by residents of Lancaster County, PA.

Most Common

The most common jobs held by residents of Lancaster County, PA, by number of employees, are Management Occupations (30,205 people), Office & Administrative Support Occupations (29,086 people), and Production Occupations (22,980 people).

Most Specialized

Compared to other counties, Lancaster County, PA has an unusually high number of residents working as Material Moving Occupations (1.61 times higher than expected), Production Occupations (1.55 times), and Farming, Fishing, & Forestry Occupations (1.47 times).

Highest Paid

The highest paid jobs held by residents of Lancaster County, PA, by median earnings, are Law Enforcement Workers Including Supervisors ($80,641), Legal Occupations ($70,873), and Computer & Mathematical Occupations ($65,498).

Industries

Employment by Industries

272k

2018 Value

± 8,535

-1.2%

1 Year decline

± 4.46%

From 2017 to 2018, employment in Lancaster County, PA declined at a rate of -1.2%, from 275k employees to 272k employees.

The most common employment sectors for those who live in Lancaster County, PA, are Manufacturing (42,417 people), Health Care & Social Assistance (37,989 people), and Retail Trade (30,749 people). This chart shows the share breakdown of the primary industries for residents of Lancaster County, PA, though some of these residents may live in Lancaster County, PA and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Lancaster County, PA, by number of employees, are Manufacturing (42,417 people), Health Care & Social Assistance (37,989 people), and Retail Trade (30,749 people).

Most Specialized

Compared to other counties, Lancaster County, PA has an unusually high number of Agriculture, Forestry, Fishing & Hunting (2.42 times higher than expected), Manufacturing (1.6 times), and Construction (1.31 times) industries.

Highest Paying

The highest paying industries in Lancaster County, PA, by median earnings, are Management of Companies & Enterprises ($96,221), Utilities ($62,440), and Mining, Quarrying, & Oil & Gas Extraction ($55,354).

Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from Pennsylvania to other states, or from other states to Pennsylvania.

Top Domestic Production in Dollars

In 2015, the top outbound Pennsylvania product (by dollars) was Mixed freight with $83B, followed by Coal-n.e.c. ($50.6B) and Pharmaceuticals ($49.7B).

The following chart shows the share of these products in relation to all outbound Pennsylvania products.

Domestic Trade Growth

Showing data for Pennsylvania.

$618B

2015 Value in Pennsylvania

$954B

Projected 2045 Value in Pennsylvania

54.4% growth

In 2015, total outbound Pennsylvania trade was $618B. This is expected to increase 54.4% to $954B by 2045.

The following chart shows how the domestic outbound Pennsylvania trade is projected to change in comparison to its neighboring states.

Interstate Trade

Interstate trade consists of products and services shipped from Pennsylvania to other states, or from other states to Pennsylvania.

Most Common Trade Partners

New York
$61B
New Jersey
$57.7B
Ohio
$33.1B

In 2015, the top outbound Pennsylvania domestic partner for goods and services (by dollars) was New York with $61B, followed by New Jersey with $57.7B and Ohio and $33.1B.

The following map shows the amount of trade that Pennsylvania shares with each state (excluding itself).

Education

In 2017, universities in Lancaster County, PA awarded 4,990 degrees. The student population of Lancaster County, PA is skewed towards women, with 7,535 male students and 10,705 female students.

Most students graduating from Universities in Lancaster County, PA are White (3,679 and 75.7%), followed by Black or African American (449 and 9.24%), Hispanic or Latino (357 and 7.35%), and Unknown (142 and 2.92%).

The largest universities in Lancaster County, PA by number of degrees awarded are Millersville University of Pennsylvania (1,839 and 36.9%), Franklin and Marshall College (646 and 12.9%), and Pennsylvania College of Health Sciences (512 and 10.3%).

The most popular majors in Lancaster County, PA are General Business Administration & Management (406 and 8.14%), Registered Nursing (341 and 6.83%), and General Psychology (227 and 4.55%).

The median tuition costs in Lancaster County, PA are $27,084 for private four year colleges, and $9,270 and $18,730 respectively, for public four year colleges for in-state students and out-of-state students.

Concentrations

Most Common

General Psychology
197 degree-majorss awarded
General Biological Sciences
171 degree-majorss awarded
General Business Administration & Management
355 degree-majorss awarded

In 2015, the most common concentation for Bachelors Degree recipients in Lancaster County, PA was General Psychology with 197 degree-majorss awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Lancaster County, PA according to their major.

Universities

Largest Universities by degrees awarded

Millersville University of Pennsylvania
1,839 degrees awarded
Franklin and Marshall College
646 degrees awarded
Pennsylvania College of Health Sciences
512 degrees awarded

$9,270

Median In-State Public

$27,084

Median Private

In 2017, the Lancaster County, PA institution with the largest number of graduating students was Millersville University of Pennsylvania with 1,839 degrees awarded.

Student Gender for Common Institutions

2,053

Degrees Awarded to Men

2,937

Degrees Awarded to Women

In 2017, 2,053 men were awarded degrees from institutions in Lancaster County, PA, which is 0.699 times less than the 2,937 female students who received degrees in the same year.

This chart displays the gender disparity between the top 5 institutions in Lancaster County, PA by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
3,679 degrees awarded
Black or African American
449 degrees awarded
Hispanic or Latino
357 degrees awarded

In 2017 the majority of degrees awarded at institutions in Lancaster County, PA were to White students. These 3,679 degrees mean that there were 8.19 times more White students then the next closest race/ethnicity group, Black or African American, with 449 degrees awarded.

Housing & Living

The median property value in Lancaster County, PA was $220,500 in 2018, which is 0.96 times smaller than the national average of $229,700. Between 2017 and 2018 the median property value increased from $204,200 to $220,500, a 7.98% increase. The homeownership rate in Lancaster County, PA is 67.4%, which is higher than the national average of 63.9%. People in Lancaster County, PA have an average commute time of 21.4 minutes, and they commute by Drove Alone. Car ownership in Lancaster County, PA is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$220,500

2018 Median

± $3,965

$204,200

2017 Median

± $5,106

In 2018, the median property value in Lancaster County, PA grew to to $220,500 from the previous year's value of $204,200.

The following charts display, first, the property values in Lancaster County, PA compared to it's parent and neighbor geographies and, second, owner-occupied housing units distributed between a series of property value buckets compared to the national averages for each bucket. In Lancaster County, PA the largest share of households have a property value in the $200k - $250k range.

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$66,277

Median Household Income

± $1,352

202k

Number of Households

± 6,883

In 2018, the median household income of the 202k households in Lancaster County, PA grew to $66,277 from the previous year's value of $63,407.

The following chart displays the households in Lancaster County, PA distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

Property Taxes

$3k+

Average Range

This chart shows the households in Lancaster County, PA distributed between a series of property tax buckets compared to the national averages for each bucket. In Lancaster County, PA the largest share of households pay taxes in the $3k+ range.

Rent vs Own

67.4%

2018 Homeownership

66.9%

2017 Homeownership

In 2018, 67.4% of the housing units in Lancaster County, PA were occupied by their owner. This percentage grew from the previous year's rate of 66.9%.

This percentage of owner-occupation is higher than the national average of 63.9%. This chart shows the ownership percentage in Lancaster County, PA compared it's parent and neighboring geographies.

Commute Time

21.4 minutes

Average Travel Time

Using averages, employees in Lancaster County, PA have a shorter commute time (21.4 minutes) than the normal US worker (25.7 minutes). Additionally, 2.08% of the workforce in Lancaster County, PA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Lancaster County, PA compares to that of it's neighboring and parent geographies.

Commuter Transportation

Most Common Method of Travel

Drove Alone
74.5%
Carpooled
12.9%
Worked At Home
5.85%

In 2018, the most common method of travel for workers in Lancaster County, PA was Drove Alone (74.5%), followed by those who Carpooled (12.9%) and those who Worked At Home (5.85%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

Transportation

Car Ownership

2 cars

Average Number

The following chart displays the households in Lancaster County, PA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Lancaster County, PA have 2 cars, followed by 3 cars.

Health

87% of the population of Lancaster County, PA has health coverage, with 47.6% on employee plans, 13.5% on Medicaid, 13.3% on Medicare, 11.9% on non-group plans, and 0.682% on military or VA plans.

Per capita personal health care spending in Pennsylvania was $9,258 in 2014. This is a 4.29% increase from the previous year ($8,877).

Primary care physicians in Lancaster County, PA see 1355 patients per year on average, which represents a 1.35% increase from the previous year (1337 patients). Compare this to dentists who see 1807 patients per year, and mental health providers who see 851 patients per year.

Comparing across all counties in the state, Fayette County has the highest prevalence of diabetes (16%). Additionally, Clearfield County has the highest prevalence of adult obesity (39.3%)

Patient to Clinician Ratios

1,355 to 1

Patient to Primary Care Physician Ratio in Lancaster County, PA

Primary care physicians in Lancaster County, PA see an average of 1,355 patients per year. This represents a 1.35% increase from the previous year (1,337 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Lancaster County, PA in comparison to its neighboring geographies.

Behavioral Health Conditions

Data only available at the state level.

State with the Highest Prevalence

West Virginia
8.26% of the population affected
Arkansas
8.13% of the population affected
New Hampshire
7.98% of the population affected

In 2016, West Virginia had the highest prevalence of adults with major depressive episode, with 8.26% of the population affected. The second highest is Arkansas (8.13%), followed by New Hampshire (7.98%).

The following map shows the percent of individuals with major depressive episode by state over multiple years.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Access and Quality

Data only available at state level.

Most prevalent states

Mississippi
19.2% of adults
Texas
17.9% of adults
Louisiana
17.6% of adults

In 2016, Mississippi had the highest prevalence of adults who haven't seen a doctor in the past 12 months due to cost, at 19.2%. It is followed by Texas (17.9%) and Louisiana (17.6%).

The following map shows the prevalence of adults who haven't seen a doctor in the past 12 months due to cost by state over multiple years.

Health Care Spending

Data is only available at the state level. Showing data for Pennsylvania.

$9,258

Total Per Capita Spending on Personal Health Care in Pennsylvania

$4,634

Per Enrollee Private Health Insurance Spending on Personal Health Care

$9,407

Per Enrollee Medicaid Spending on Personal Health Care

$11,243

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Pennsylvania (including private, Medicare, and Medicaid) grew 4.29%, from $8,877 to $9,258.

The following chart shows how this spending changed over time in comparison to Medicaid, Medicare, and private insurance spending, per enrollee.

Health Care Coverage

13%

Uninsured

47.6%

Employer Coverage

13.5%

Medicaid

13.3%

Medicare

11.9%

Non-Group

0.682%

Military or VA

Between N/A and 2017, the percent of uninsured citizens in Lancaster County, PA N/A by N/A from N/A% to 13%.

The following chart shows how the percent of uninsured individuals in Lancaster County, PA changed over time compared with the percent of individuals enrolled in various types of health insurance.