Accessing affordable healthcare is a challenge for Americans nationwide, as a recent survey from Gallup and West Health found that just over half (55%) of U.S. adults can access and afford quality healthcare when needed.
In some states, accessing healthcare may be more challenging than in others due to high costs, a lack of health insurance coverage and a shortage of healthcare providers.
To determine where healthcare is least accessible, Forbes Advisor compared all 50 states across 14 key metrics.
According to the data,Utah tops the list of states where healthcare is least accessible, while Massachusetts ranks as the best state for healthcare access.
In fact, five Western states rank among the top 10 states where healthcare is least accessible: Utah, Nevada, Arizona, Wyoming and Idaho.
The survey also revealed that Nevada has the fewest primary care physicians in the nation per 10,000 residents (10.4) and Texas ranks highest for both the percentage of residents who lack health insurance coverage (16.6%) and the percentage of residents who chose not to see a doctor due to cost (16%).
Top 10 states where healthcare is least accessible
1. Utah
Utah’s score: 100 out of 100
Utah tops the list as the worst state for healthcare access due to its lack of resources, including low numbers of qualified healthcare professionals and an insufficient number of hospital beds.
Utah employers also cover the second-lowest percentage of employee’s annual health insurance premiums (74% for employees with single coverage).
Additionally, the Beehive State has the:
Third-lowest number of primary care physicians per 10,000 residents (11.26).Third-lowest number of hospital beds per 1,000 residents (1.7).Fourth-lowest number of nurse practitioners per 10,000 residents (3.88).Eighth-lowest number of physician assistants per 10,000 residents (2.22).Eighth-lowest number of critical care nurses and certified registered nurse anesthetists per 10,000 adults (1.37).
2. Nevada
Nevada’s score: 93.08 out of 100
Nevada lacks an adequate number of primary care physicians to support its population, and a large percentage of residents are uninsured.
The Silver State has the:
Fewest primary care physicians in the nation per 10,000 residents (10.4).Second-lowest number of critical care nurses and certified registered nurse anesthetists per 10,000 adults (0.9).Third-lowest number of specialist physicians per 10,000 residents (10.79).Fourth-lowest number of community health centers per 100,000 residents (0.25).Sixth-highest percentage of residents who lack health insurance coverage (11.1%).Sixth-highest percentage of residents who chose not to see a doctor due to cost (12.9%).
3. Texas
Texas’ score: 92.15 out of 100
The Lone Star State has the highest percentage of residents lacking health insurance coverage (16.6%) and the highest percentage of people who were unable to afford a visit to the doctor (16%).
Texas also stands out as the state with the:
Second-lowest number of community health centers per 100,000 residents (0.24).Fourth-lowest number of primary care physicians per 10,000 residents (11.46).Sixth-highest average deductible for employees with single coverage through employer-provided health insurance ($2,282 annually).10th-lowest number of specialist physicians per 10,000 residents (13).
4. Arizona
Arizona’s score: 92.11 out of 100
Access to qualified healthcare professionals in Arizona is limited, often leading to unmet medical needs for residents.
The Grand Canyon State has the:
Sixth-lowest number of primary care physicians per 10,000 residents (12.24).Eighth-lowest percentage of need met in primary care provider shortage areas (35%).Ninth-highest percentage of residents who lack health insurance coverage (10.3%).10th-lowest number of nurse practitioners per 10,000 residents (5.06).10th-lowest number of critical care nurses and certified registered nurse anesthetists per 10,000 adults (1.46).10th-lowest number of community health centers per 100,000 residents (0.31).
5. Georgia
Georgia’s score: ââ88.52 out of 100
Georgia’s population has the second-highest percentage of people who don’t have health insurance, accompanied by a high number of residents who cannot afford a visit to the doctor.
The Peach State has the:
Second-highest percentage of residents who lack health insurance coverage (11.7%).Second-highest percentage of residents who chose not to see a doctor due to cost (15.2%).Eighth-highest average deductible for employees with single coverage through employer-provided health insurance ($2,269 annually).11th-lowest number of community health centers per 100,000 residents (0.32).
6. South Carolina
South Carolina’s score: 83.29 out of 100
The Palmetto State has a significant need for qualified healthcare professionals to make healthcare more accessible to residents.
South Carolina stands out as the state with the:
Second-lowest number of nurse practitioners per 10,000 residents (3.5).Fifth-lowest number of physician assistants per 10,000 residents (1.65).Ninth-highest percentage of residents who chose not to see a doctor due to cost (12.4%).10th-lowest number of primary care physicians per 10,000 residents (12.94).
South Carolina employers also cover the sixth-lowest percentage of employees’ annual health insurance premiums (76% for employees with single coverage).
7. Indiana
Indiana’s score: 79.16 out of 100
Indiana has a need for more qualified healthcare professionals to make healthcare more affordable and accessible for its population.
The Hoosier State has the:
Fifth-lowest number of critical care nurses and certified registered nurse anesthetists per 10,000 adults (1.29).Seventh-highest average deductible for employees with single coverage through employer-provided health insurance ($2,277 annually).Ninth-lowest number of physician assistants per 10,000 residents (2.23).Ninth-lowest number of nurse practitioners per 10,000 residents (5.01).11th-lowest number of primary care physicians per 10,000 residents (13.03).
8. Wyoming
Wyoming’s score: 78.06 out of 100
A large number of residents in Wyoming don’t have health insurance, and those who get insurance through their job have high premiums.
Wyoming stands out as the state with the:
Fourth-highest percentage of residents who lack health insurance coverage (11.5%).Fourth-lowest number of specialist physicians per 10,000 residents (11.66).Fourth-lowest number of critical care physicians per 10,000 adults (0.34).Sixth-lowest number of nurse practitioners per 10,000 residents (4.54).Seventh-lowest number of physician assistants per 10,000 residents (2.16).Seventh-highest average premium for employees with single coverage through employer-provided health insurance ($1,888 annually).
Additionally, Wyoming employers cover the sixth-lowest percentage of employees’ health insurance premiums (76% for employees with single coverage).
9. Idaho
Idaho’s score: 75.23 out of 100
The Gem State has the greatest need for specialist physicians and critical care physicians in the nation.
Idaho has the:
Fewest specialist physicians per 10,000 residents (8.84).Lowest number of critical care physicians per 10,000 adults (0.27).Second-lowest number of primary care physicians per 10,000 residents (10.75).Sixth-lowest number of hospital beds per 1,000 residents (1.85).
10. North Carolina
North Carolina’s score: 71.90 out of 100
North Carolina has a strong need for more qualified healthcare professionals.
The Tar Heel State has the:
Fifth-lowest number of nurse practitioners per 10,000 residents (4.3).Eighth-highest average premium for employees with single coverage through employer-provided health insurance ($1,847 annually).10th-highest percentage of residents who lack health insurance coverage (9.3%).10th-highest average deductible for employees with single coverage through employer-provided health insurance ($2,247 annually).
North Carolina employers also cover the sixth-lowest percentage of employees’ annual health insurance premiums (76% for employees with single coverage).
Methodology:
To determine where healthcare is least accessible, Forbes Advisor compared all 50 states across the following 14 metrics:
Number of hospital beds per 1,000 residents: 12% of score. Data comes from the Kaiser Family Foundation (KFF), 2022.Number of primary care physicians per 10,000 residents: 12% of score. Data comes from KFF, 2024.Number of specialist physicians per 10,000 residents: 12% of score. Data comes from KFF, 2024.Number of nurse practitioners per 10,000 residents: 8% of score. Data comes from KFF, 2024.Number of physician assistants per 10,000 residents: 8% of score. Data comes from KFF, 2024.Percentage of need met in primary care provider shortage areas (HPSAs): 8% of score. Data comes from KFF, 2024.Percentage of residents who lack health insurance coverage: 6% of score. Data comes from the U.S. Census Bureau’s 2022 1-year American Community Survey.Number of community health centers per 100,000 residents: 6% of score. Data comes from KFF, 2022.Average annual premium for employees with single coverage through employer-provided health insurance: 5% of score. Data comes from KFF, 2022.Percentage of annual health insurance premium covered by employers for employees with single coverage: 5% of score. Data comes from KFF, 2022.Average annual deductible for employees with single coverage through employer-provided health insurance: 5% of score. Data comes from KFF, 2022.Percentage of residents who chose not to see a doctor at some point in the past 12 months due to cost: 5% of score. Data comes from The CDC’s Behavioral Risk Factor Surveillance System (BRFSS). For this metric, they took a three-year average, using data from 2020 to 2022.Number of critical care physicians per 10,000 adults: 4% of score. This metric includes physicians who have completed a formal fellowship in critical care medicine. Data comes from KFF, 2020.Number of critical care nurses and CRNAs per 10,000 adults: 4% of score. This metric includes certified registered nurse anesthetists and nurses specifically trained in critical care. Data comes from KFF, 2020.
State population data comes from The U.S. Census Bureau, 2023.
