In recent times, the ability of middle-class persons to secure adequate health care insurance has been compromised by a number of factors. These are the findings of a report from the Robert Wood Johnson Foundation released in March 2010. The work chronicles state-by-state health coverage trends since 1999, and it was prepared by the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota. The report notes that the total number of uninsured, middle-class people increased by more than 2 million since 2000 and that the average employee's cost for health insurance rose 81 percent from 2000 to 2008. Visitors can peruse the 10-page reports various charts and tables at their leisure, and the report is of particular interest to those in the fields of public health and health care management.