The estimate of 3.6 million Americans who miss or delay medical care because of a lack of access to NEMT each year, derived from analysis of NHIS and MEPS data, is conservative and should be seen as a lower-bound estimate. The response bias inherent in these studies, for example, the difficulty of surveying homeless people and other truly disadvantaged individuals, lowers the estimate; and some populations may be totally ignored in the data. This bias tends to lower the estimate compared with the estimate that would be obtained if the studies truly represented the entire U.S. population.
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