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 Illinois ranks as the 20th worst in the country.
Illinois’ health care system ranks among the worst in the U.S. largely due to the state’s relatively low spending on health care and hospitals. The state spends $97 per person on health care, the sixth lowest amount per person in the U.S., and $68 per resident on hospitals, the 13th lowest. Both are well below the respective national figures of $205 and $294.
Illinois residents may also have a harder time accessing mental health specialists than people in other states. There are 245.3 mental health providers per 100,000 residents in Illinois, compared to 261.2 per 100,000 in the U.S. 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