These States Have the Best Healthcare Systems

Nearly 11% of Americans under 65 have no health insurance. That's 28.9 million people. About 5% of children have no health insurance.

While that still leaves a lot of people covered, the cost and quality of care varies from state to state.

Health care costs have increased. National health spending is projected to grow at an average rate of 5.5% per year, according to the Center for Medicare and Medicaid Services. But higher cost doesn't necessarily mean better care. 

To determine the best and worst states for health care, personal finance site WalletHub compared cost, access and outcomes in all 50 states and the District of Columbia, then ranked them based on overall scores of those metrics. 

Some of the key metrics were:

Cost:

  • Medical and dental visits
  • Average monthly insurance premium
  • Share of high out-of-pocket medical spending
  • The share of adults with no doctor visits due to cost

Access:

  • Emergency-room wait time
  • EMS response time
  • Hospital beds per capita
  • Physicians, dentists, geriatricians, emts, NPs and PAs per capita
  • Medicare acceptance rate
  • Share of insured adults and children

Outcomes:

  • Child, infant and maternal mortality rates
  • Life expectancy
  • Cancer rates, etc.

These are the states with the best healthcare.

Photo: Shutterstock

1. Vermont
1. Vermont

1. Vermont

Cost rank: 3

Access rank: 23

Outcomes rank: 1

Vermont comes out on top of all states for healthcare. Vermont is one of the five states with the highest percentage of insured adults aged 18-64. It also has the lowest infant mortality rate, and one of the lowest rates of heart disease.

Photo: Shutterstock

2. Massachusetts
2. Massachusetts

2. Massachusetts

Cost rank: 31

Access rank: 2

Outcomes rank: 2

Massachusetts has the lowest monthly insurance premium of all states. It is also one of the five states with the lowest percentage of adults who had not had a dental visit in the past year. Pictured is Massachusetts General Hospital in Boston.

Photo: Shutterstock

3. New Hampshire
3. New Hampshire

3. New Hampshire

Cost rank: 24

Access rank: 4

Outcomes rank: 4

Behind Vermont, New Hampshire has the lowest infant mortality rate of all states.

Photo: Shutterstock

4. Minnesota
4. Minnesota

4. Minnesota

Cost rank: 11

Access rank: 8

Outcomes rank: 8

Minnesota is one of five states with the lowest percentage of adults who had not seen a dentist in the last year.

Photo: Gian Lorenzo Ferretti / Shutterstock

5. Hawaii
5. Hawaii

5. Hawaii

Cost rank: 5

Access rank: 35

Outcomes rank: 5

Hawaii is one of five states with the highest percentage of insured adults, as well as insured children (age 0-17.)

Photo: Shutterstock

6. Rhode Island
6. Rhode Island

6. Rhode Island

Cost rank: 4

Access rank: 24

Outcomes rank: 10

Rhode Island is No. 3 for most physicians per capita.

Photo: Shutterstock

7. Colorado
7. Colorado

7. Colorado

Cost rank: 23

Access rank: 15

Outcomes rank: 3

Colorado is one of the five states with the lowest cancer rates.

Photo: Shutterstock

8. District of Columbia
8. District of Columbia

8. District of Columbia

Cost rank: 1

Access rank: 6

Outcomes rank: 36

D.C. is another one of five states with the lowest cancer rates.

Photo: 4kclips / Shutterstock.com

9. Iowa
9. Iowa

9. Iowa

Cost rank: 6

Access rank: 19

Outcomes rank: 14

Photo: Shutterstock

10. Maryland
10. Maryland

10. Maryland

Cost rank: 2

Access rank: 28

Outcomes rank: 28

Despite being 10th overall, Maryland ranks in the bottom five for having the fewest hospital beds per capita.

Photo: Shutterstock

11. Connecticut
11. Connecticut

11. Connecticut

Cost rank: 33

Access rank: 7

Outcomes rank: 7

Of all the states, Connecticut has the lowest percentage of adults who had not had a dental visit in the past year.

Photo: Shutterstock

12. Maine
12. Maine

12. Maine

Cost rank: 35

Access rank: 1

Outcomes rank: 15

Maine ranks No. 1 overall for access to healthcare.

Photo: Shutterstock

13. Kansas
13. Kansas

13. Kansas

Cost rank: 10

Access rank: 9

Outcomes rank: 21

Photo: TommyBrison / Shutterstock.com

14. South Dakota
14. South Dakota

14. South Dakota

Cost rank: 34

Access rank: 3

Outcomes rank: 16

Photo: Shutterstock

15. Utah
15. Utah

15. Utah

Cost rank: 25

Access rank: 34

Outcomes rank: 6

Utah has the lowest rate of heart disease of all the states.

Photo: Shutterstock

16. Nebraska
16. Nebraska

16. Nebraska

Cost rank: 27

Access rank: 14

Outcomes rank: 12

Nebraska is No. 4 for the highest rate of physicians accepting Medicare.

Photo: Shutterstock

17. New York
17. New York

17. New York

Cost rank: 13

Access rank: 11

Outcomes rank: 24

New York is one of five states with the most physicians per capita.

Photo: Alarax / Shutterstock

18. Pennsylvania
18. Pennsylvania

18. Pennsylvania

Cost rank: 16

Access rank: 10

Outcomes rank: 29

Photo: Shutterstock

19. Ohio
19. Ohio

19. Ohio

Cost rank: 7

Access rank: 18

Outcomes rank: 34

Ohio is one of six states with the lowest percentage of at-risk adults who had not had a routine doctor visit in the past two years.

Photo: f11photo / Shutterstock

20. Michigan
20. Michigan

20. Michigan

Cost rank: 8

Access rank: 17

Outcomes rank: 33

Photo: Susan Montgomery / Shutterstock

21. North Dakota
21. North Dakota

21. North Dakota

Cost rank: 15

Access rank: 12

Outcomes rank: 32

Photo: Shutterstock

22. Virginia
22. Virginia

22. Virginia

Cost rank: 21

Access rank: 29

Outcomes rank: 17

Photo: Shutterstock

23. Wisconsin
23. Wisconsin

23. Wisconsin

Cost rank: 47

Access rank: 13

Outcomes rank: 9

Photo: Shutterstock

24. Illinois
24. Illinois

24. Illinois

Cost rank: 20

Access rank: 16

Outcomes rank: 31

Illinois is in the top five states with the highest percentage of insured children, age 0-17.

Photo: David Harmantas / Shutterstock

25. Delaware
25. Delaware

25. Delaware

Cost rank: 9

Access rank: 38

Outcomes rank: 25

Delaware is one of six states with the lowest percentage of at-risk adults who had not had a routine doctor visit in the past two years.

Photo: Shutterstock

26. New Jersey
26. New Jersey

26. New Jersey

Cost rank: 12

Access rank: 41

Outcomes rank: 23

New Jersey ranks No. 4 for the lowest infant mortality rate.

Photo: Shutterstock

27. Oregon
27. Oregon

27. Oregon

Cost rank: 28

Access rank: 40

Outcomes rank: 18

Of all the states, Oregon has the highest percentage of at-risk adults who had not had a routine doctor visit in the past two years. It is also in the bottom five for physicians accepting Medicare.

Photo: Shutterstock

28. Washington
28. Washington

28. Washington

Cost rank: 38

Access rank: 42

Outcomes rank: 11

Washington is one of the states with the fewest hospital beds per capita.

Photo: Shutterstock

29. California
29. California

29. California

Cost rank: 17

Access rank: 45

Outcomes rank: 19

California is one of five states with the lowest rate of heart disease. It leads the country for keeping its young doctors in the state: California retains 70% of residents and fellows trained in-state, according to StatNews.

Photo: Iris van den Broek / Shutterstock

30. New Mexico
30. New Mexico

30. New Mexico

Cost rank: 19

Access rank: 27

Outcomes rank: 37

New Mexico was another one of five states with the lowest cancer rates.

To see the full ranking of all states and more detail about the methodology, visit WalletHub.

Photo: Andriy Blokhin / Shutterstock

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