{
  "metadata": {
    "source": "U.S. Census Bureau ACS 5-Year Estimates",
    "tables": [
      "B18102 (Hearing)",
      "B18103 (Vision)",
      "B18104 (Cognitive)"
    ],
    "year": 2021,
    "fetched_at": "2025-12-21T12:17:29.623212",
    "note": "Communication disability approximated from hearing, vision, cognitive difficulties",
    "attribution": "Source: U.S. Census Bureau, American Community Survey"
  },
  "data": [
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      "hearing_difficulty": 49103,
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      "cognitive_difficulty": 331920,
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      "communication_relevant_total": 469569
    },
    {
      "state_name": "Alaska",
      "state_fips": "02",
      "total_population": 709438,
      "hearing_difficulty": 6694,
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      "vision_rate": 1.66,
      "cognitive_difficulty": 36934,
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      "communication_relevant_total": 55420
    },
    {
      "state_name": "Arizona",
      "state_fips": "04",
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      "vision_difficulty": 117044,
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      "cognitive_difficulty": 325269,
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      "communication_relevant_total": 510897
    },
    {
      "state_name": "Arkansas",
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    },
    {
      "state_name": "California",
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    },
    {
      "state_name": "Colorado",
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    {
      "state_name": "Connecticut",
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      "state_name": "District of Columbia",
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      "state_name": "Florida",
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      "state_name": "Georgia",
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    },
    {
      "state_name": "Hawaii",
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      "state_name": "Illinois",
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    {
      "state_name": "Indiana",
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    {
      "state_name": "Iowa",
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    {
      "state_name": "Kansas",
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      "state_name": "Kentucky",
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      "state_name": "Louisiana",
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    {
      "state_name": "Maine",
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    {
      "state_name": "Maryland",
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    {
      "state_name": "Massachusetts",
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    {
      "state_name": "Michigan",
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    {
      "state_name": "Minnesota",
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    {
      "state_name": "Mississippi",
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      "state_name": "Missouri",
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      "state_name": "Montana",
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      "state_name": "Nebraska",
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      "state_name": "New Hampshire",
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      "state_name": "New Jersey",
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      "state_name": "New Mexico",
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  ]
}