The United States saw the most dramatic increase in uninsured residents in a decade, with Texas leading the way. The U.S. Census Bureau released a report today claiming Americans without insurance rose by 2.4 million last year. That's an increase of almost six percent over 2001. Almost one in four Texans lacked health coverage. The rise is blamed on rising insurance costs coupled with increasing unemployment. The effect is felt right here in East Texas. ETMC Regional Healthcare System is projecting uncompensated healthcare costs for fiscal year 2003 to be 176.5 million. That's about 30 percent higher than last years 136 million. The total number of Americans without health insurance now sits at 43-million.