This Is Where North Carolina’s Health Care System Ranks in the US

The U.S. health care system faced new levels of scrutiny in the past year amid the COVID-19 pandemic. There were shortages of medical masks, ICU beds, as well as nurses. But even before the pandemic, some states were much better equipped to handle both everyday health needs — and the pandemic — than others.

There are many states in which residents are much more likely to lack health care insurance. In many of these states, there are also fewer medical professionals relative to the population, which can hinder access to care, as well as underfunded medical hospitals.

The health care system in North Carolina ranks as the 16th worst in the country.

North Carolina’s health care system ranks worse than most other states, in large part because residents may struggle to find access to medical professionals and because of the state’s relatively low spending on health care and hospitals.

The state has fewer doctors, dentists, and mental health providers per capita than is typical nationwide and spends less on health care and hospital per capita than the average across U.S. states.

The state has the 10th highest share of adults without health insurance, at 11.3% compared to the nationwide share of 9.2%. About 18.0% of adults report being in poor or fair health, higher than the 16.5% share across the country as a whole.

To identify the states with the worst health care systems, 24/7 Wall St. constructed an index comprising six health measures for each state: the share of residents without health insurance, state spending on health care as well as on hospitals per capita, and the number of dentists, doctors, and mental health providers per 100,000 people. Each of these measures was weighted equally in the index. These are the 25 states with the worst health care system

RankStateUninsured rateAdults in poor or fair healthPremium contribution, single coverageState spending on health care per capita25Wyoming12.3%15.3%$96.25$51324Delaware6.6%16.3%$127.92$48023Montana8.3%14.1%$93.50$16722Missouri10.0%19.5%$109.83$33221Nebraska8.3%13.8%$112.58$15120Illinois7.4%15.9%$115.17$9719Kentucky6.4%21.8%$121.08$9818North Dakota6.9%13.6%$98.50$18817South Carolina10.8%17.8%$111.58$24716North Carolina11.3%18.0%$115.92$16415West Virginia6.7%23.6%$113.08$16014Oklahoma14.3%20.9%$115.25$22313South Dakota10.2%13.4%$120.17$17812Louisiana8.9%21.4%$122.08$10111Alabama9.7%21.4%$132.75$11710Arkansas9.1%23.3%$104.42$589Florida13.2%19.5%$120.17$2258Idaho10.8%15.1%$73.08$1047Tennessee10.1%21.2%$119.25$1116Indiana8.7%18.2%$121.67$905Nevada11.4%19.1%$104.58$934Mississippi13.0%22.1%$109.08$1333Arizona11.3%18.6%$126.92$812Georgia13.4%18.4%$108.25$1191Texas18.4%18.7%$112.92$109

Disclaimer: This content is distributed by The Center Square