The "missing class" of people

The are 34 million people in the United States who meet the 'poverty' criteria to receive assistance for health care services. There are 53 million people who do not qualify for assistance because they have an annual income between 20K and 40K per year (family of four).
In reviewing this group of people who pay their taxes, and assume responsibility for raising their children, they do not qualify for health care assistance based on their gross income. According to recent literature, these families strive to participate in "middle class" dreams, but cannot affor to pay for their health care insurance. They are being referred to as the "missing class" or families that get overlooked in their struggle to maintain a quality of life for their family.
Let's hope that we don't see more and more families slide into the "missing class" and have access to health care services.