The divide between health outcomes among the poor and rich is substantial. Thirty-three percent of those who make less than $22,500 a year, address being in poor or fair health. While 12 percent of those who make $47,700 a year, report being in poor to fair health. Essentially, those who are poorer or make less money are more likely to encounter health issues. While wealthy people have better health outcomes than low-income citizens. Affordable Care Act's were then executed and helped open health coverage for the poorest of people. Though there are still those who skip needed health care because the expense is still too great. The question is "how unfair it is that wealthier people can afford better health care?".