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The fastest-growing states in terms of population over the last decade, including Texas, Florida, and Georgia, consistently rank last when it comes to health and health care. This is because these states have large numbers of uninsured adults, high levels of premature death from treatable conditions, less investment in public health, too many people with mental illness unable to get the care they need, and residents facing mounting insurance costs that make health care less affordable than in many other parts of the country, according to the Commonwealth Fund.
Texas ranked 42nd overall in our measure of health system performance — in large part because of how hard it is for people in the state to get and afford the health care they need. It has the highest uninsured rate in the country, and fewer of its residents report having a regular source of health care — an important marker of how well the health system is working. Texas also has the largest number of residents who said they skipped health care they needed because of cost, and health insurance costs take a bigger share of people’s incomes in Texas than in almost any other state. Texas is also one of 14 states that still have not expanded Medicaid under provisions of the Affordable Care Act, leaving millions of working people uninsured.
The Fastest-Growing U.S. States Have the Worst Health Care
The 2020 census shows that the U.S. states with the fastest-growing population score the worse when it comes to the quality of their residents’ health and access to care. They have large numbers of uninsured adults, high levels of premature death from treatable conditions, less investment in...hbr.org