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A study of lower- and higher-income families on high deductible health plans (HDHPs, with deductibles over $2,000): lower income families were more likely to forego or delay care (57 percent) compared to higher income families (42 percent). The study found no differences in plan understanding between family groups, and did not differentiate between foregone care of little and great benefit. (Source: Kullgren, et al. November 22, 2010. “Health Care Use and Decision Making Among Lower-Income Families in High-Deductible Health Plans.” Archives of Internal Medicine. Vol. 170:21.)