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Where Americans Can’t Afford Healthcare, Ranked by State

Where Americans Can’t Afford Healthcare, Ranked by State

Update: 2025-10-10
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This post is by Pallavi Rao from Visual Capitalist





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This map tracks the share of surveyed Americans who couldn't afford healthcare in 2023, per CDC data.


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Where Americans Can’t Afford Healthcare, Ranked by State


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Key Takeaways



  • Southern states post higher shares of surveyed adults who said they skipped visiting the doctor due to cost reasons in 2023, per CDC data.

  • Notable amongst them is Texas—highest of all the states—with 18% of respondents being unable to afford healthcare.

  • Texas has one of the strictest Medicaid eligibility requirements, leaving many working-poor adults uninsured.



If there are two issues that dominate America’s online discourse, they’re the soaring cost of housing and the even steeper price of staying healthy.


The U.S. pours almost $13,000 per person into healthcare, yet average life expectancy is below nearly every other high-income nation.


It’s a study of contrasts. The country boasts of state of the art facilities and cutting edge research, while nearly 10% of Americans can’t afford healthcare.


This number comes from Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS) data that lists the share of surveyed adults who skipped seeing a doctor in 2023 because it simply cost too much.


In the map and article below we break down the varying trends per state.


ℹ Note: Source figures unavailable for Kentucky and Pennsylvania.

Ranked: States Where Americans Skip the Doctor


Texas leads the nation in not being able to afford healthcare. More than 18% of surveyed adults said skipped a doctor’s visit due to cost, far above the 10.6% U.S. median.













































































































































































































































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Where Americans Can’t Afford Healthcare, Ranked by State

Where Americans Can’t Afford Healthcare, Ranked by State

Pallavi Rao

RankState / TerritoryState CodeSkipped Doctor Due

to Cost, 2023

(% surveyed)
Total Surveyed
1TexasTX18.310,020
2Virgin IslandsVI17.22,050
3GeorgiaGA15.68,202
4NevadaNV15.22,645
5TennesseeTN14.95,615
6MississippiMS14.14,053
7ArkansasAR13.95,327
8AlabamaAL13.54,352
9OklahomaOK13.36,696
10FloridaFL12.913,209
11South CarolinaSC12.89,986
12West VirginiaWV12.54,328
13ArizonaAZ12.111,991
14ColoradoCO12.18,744
15WyomingWY124,465
16UtahUT11.711,116
17LouisianaLA11.55,364
18MissouriMO11.57,185
19IdahoID11.36,871
20AlaskaAK11.15,500
21KansasKS10.99,855
22New JerseyNJ10.89,286
23CaliforniaCA10.711,924
24New MexicoNM10.73,212
25North CarolinaNC10.74,082
26IllinoisIL10.65,267
27IndianaIN10.410,960
28South DakotaSD10.35,858
29OregonOR10.26,201
30District of ColumbiaDC9.83,198
31MontanaMT9.77,120
32New YorkNY9.717,269