The U.S. Department of Health and Human Services released reports Monday projecting how many people could be without health insurance in a decade.

According to the report for the Commonwealth, the number of uninsured Virginians could grow by more than 41 percent.

Senate Democrats hope to begin the final debate on their version of health care reform next week. It will be the last hurdle before bringing the bill to a final vote.

Over the weekend, senators voted 60 to 39 in favor of pushing debate on the bill forward. The bill would require most Americans get health insurance as well as require companies to offer health care for their employees.

"I have arthritis, asthma. I have an inactive thyroid problem," says Jackie Donovan, who has been without health insurance for about a decade.

Things were fine until she lost her job.

"That's when the problem started," says Donovan.

Donovan is among the 1.2 million Virginians with no health insurance, according to the aforementioned report.

The Health and Human Services Department estimates that number will grow to 1.7 million people by 2019, if health care reform measures are not enacted. Researchers base those numbers on the Senate's version of the health care bill.

"Doing nothing will just, I would suggest, continue to increase what is already a very dramatic gap in who has insurance coverage and who doesn't," says Kathleen Sebelius, HHS secretary.

Mike Meredith is on the Rockingham County Republican Committee. He questions the accuracy of the government's projections and says more government involvement will lead to inefficiency and more debt.

"Through Medicaid and Medicare, they've already made a shambles of it. Why do I want to give them the rest of it. Let go of the rest of it. Let private enterprise take it over. Allow us to price-competitive policies across state line. Put in some tort reform. Put in some things that count," says Meredith.

For Donovan, costs remain high.

"I have an inhaler that's over $200," says Donovan.

She's gone without her medication before and doesn't want to do it again. She says, last time, it meant "a lot of pain and a lot of trips to the emergency room and having more bills."