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Racial and ethnic disparities plague the US health care system despite efforts to eliminate them. To understand what has been achieved amid these efforts, a comprehensive study from the population perspective is needed. To determine trends in rates and racial/ethnic disparities of key access to care measures among adults in the US in the last two decades. Cross-sectional. Data from the National Health Interview Survey, 1999-2018. Individuals 18 years old. Race and ethnicity non-Hispanic Black, non-Hispanic Asian, non-Hispanic White