This Is Where South Dakota’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 South Dakota ranks as the 13th worst in the country.

South Dakota is one of just 14 states in which more than one in 10 residents are uninsured. People without insurance are more likely to skip needed medical care because of cost, potentially leading to more severe health issues later on.

South Dakota struggled with COVID-19 more than almost any other state. It reported the third highest COVID-19 case rate among states, at 13,903 cases per 100,000 residents. It also had one of the 10 highest death rates, at 223 COVID-19-related fatalities per 100,000.

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

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