The numbers of Americans without health insurance have been dropping steadily over the past couple of years, but it’s becoming clear that not everyone is benefiting from better healthcare in the U.S. — despite the government’s best efforts.

According to a recent survey, Hispanic children living in rural, impoverished areas outside of cities are less likely to receive the medical care they need, even when federal- and state-subsidized programs are technically available.

The data, found in a survey compiled by Stateline, shows that 47% of Hispanic babies in rural areas are born into poverty-stricken homes, compared to 41% of Hispanic babies in urban areas. Almost half of all Hispanic babies in rural homes are born to mothers who are not U.S. citizen, and almost half of these families qualify for food stamps, but welfare benefits only reach about 12%.

The parents of these children, USA Today reported, typically come from Mexico and/or Central America and work in low-paying jobs on agricultural farms, in meat processing factories, or in plant nurseries.

Even immigrant families who are living in the U.S. legally often face difficulties when it comes to covering the high costs of healthcare; in fact, on a national scale, about 62% of all personal bankruptcies are a result of unpaid medical bills or emergency illnesses.

Subsidized healthcare programs and insurance programs have allowed countless low-income families to receive coverage, which is a major step in the right direction. As reported by Crain’s Business, the percentage of uninsured Americans finally fell below 10% — for the very first time — at the beginning of August.

However, the Stateline data proves that merely providing subsidized programs isn’t enough; for families living in rural areas, actually being able to access the care provided by these programs can be an even bigger hurdle.

Without addressing the root of the problem, healthcare experts state, the cycle of poverty will only continue.