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 Kentucky ranks as the 19th worst in the country.
Kentucky’s health care system ranks worse than most other states, in large part because residents may struggle to find access to medical professionals. The state has fewer doctors, dentists, and mental health providers per capita than is typical nationwide.
Even though overall health care spending per capita in Kentucky is one of the lowest among states, at $98, the state’s hospital spending is one of the highest in the nation, at $452 per capita. Only 10 states have higher per capita hospital spending.
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
| Rank | State | Uninsured rate | Adults in poor or fair health | Premium contribution, single coverage | State spending on health care per capita |
|---|---|---|---|---|---|
| 25 | Wyoming | 12.3% | 15.3% | $96.25 | $513 |
| 24 | Delaware | 6.6% | 16.3% | $127.92 | $480 |
| 23 | Montana | 8.3% | 14.1% | $93.50 | $167 |
| 22 | Missouri | 10.0% | 19.5% | $109.83 | $332 |
| 21 | Nebraska | 8.3% | 13.8% | $112.58 | $151 |
| 20 | Illinois | 7.4% | 15.9% | $115.17 | $97 |
| 19 | Kentucky | 6.4% | 21.8% | $121.08 | $98 |
| 18 | North Dakota | 6.9% | 13.6% | $98.50 | $188 |
| 17 | South Carolina | 10.8% | 17.8% | $111.58 | $247 |
| 16 | North Carolina | 11.3% | 18.0% | $115.92 | $164 |
| 15 | West Virginia | 6.7% | 23.6% | $113.08 | $160 |
| 14 | Oklahoma | 14.3% | 20.9% | $115.25 | $223 |
| 13 | South Dakota | 10.2% | 13.4% | $120.17 | $178 |
| 12 | Louisiana | 8.9% | 21.4% | $122.08 | $101 |
| 11 | Alabama | 9.7% | 21.4% | $132.75 | $117 |
| 10 | Arkansas | 9.1% | 23.3% | $104.42 | $58 |
| 9 | Florida | 13.2% | 19.5% | $120.17 | $225 |
| 8 | Idaho | 10.8% | 15.1% | $73.08 | $104 |
| 7 | Tennessee | 10.1% | 21.2% | $119.25 | $111 |
| 6 | Indiana | 8.7% | 18.2% | $121.67 | $90 |
| 5 | Nevada | 11.4% | 19.1% | $104.58 | $93 |
| 4 | Mississippi | 13.0% | 22.1% | $109.08 | $133 |
| 3 | Arizona | 11.3% | 18.6% | $126.92 | $81 |
| 2 | Georgia | 13.4% | 18.4% | $108.25 | $119 |
| 1 | Texas | 18.4% | 18.7% | $112.92 | $109 |
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