Across the States
Where you live matters when it comes to health care. A June 2007 study by the Commonwealth Fund graded the 50 states and the
District of Columbia based on five dimensions of health care system performance: access, quality, potentially avoidable use of
hospitals and costs of care, equity, and the ability to live long and healthy lives.
- The top-performing five states are Hawaii, Iowa, New Hampshire, Vermont, and Maine. The lowest-performing states are Kentucky,
Louisiana, Nevada, Arkansas, and Texas, with Mississippi and Oklahoma tying for last place.
- The rate of premature death in Minnesota, Utah, Vermont, Wyoming, and Alaska is half of that of the lowest-performing states—South
Carolina, Tennessee, Arkansas, Louisiana, and Mississippi.
- Over the past five years, the number of states with more than 16 percent of children uninsured declined from 10 to three. However,
the number of states with 23 percent or more of adults uninsured increased from four to 12.
- In all but six states, the percent
of adults uninsured increased.
- Across states, three of four uninsured adults age 50 or older did not receive basic preventive care, including cancer screening.
The percentage of adults who reported going without care because of costs is up to five times greater in states with high rates of
uninsured adults than in states with the lowest uninsured rates.
[Source: The Commonwealth Fund, Aiming Higher, Results from a State Scorecard on Health System Performance, June 2007]