Temporal trends in forgoing at least one doctor visit in the prior 12 months because of (A) cost overall and by (B) income, (C) race/ethnicity, (D) residence, (E) state Medicaid expansion status, and (F) employment. Care unaffordability refers to forgoing medical appointments because of cost. Subgroups by state Medicaid expansion status are limited to individuals with income ≤ 138% FPL. FPL, federal poverty level.