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Where Americans Can’t Afford Healthcare, Ranked by State
Visual Capitalist ^ | 10/10/2025 | Pallavi Rao

Posted on 10/10/2025 9:22:37 PM PDT by SeekAndFind

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.

As Visual Capitalist's Pallavi Rao notes, 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.

ℹ️ 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.

YearTop revenue company in the U.S.Annual revenue of the top company (USD, billions)
1955General Motors$9.8
1956General Motors$12.4
1957General Motors$10.8
1958General Motors$11.0
1959General Motors$9.5
1960General Motors$11.2
1961General Motors$12.7
1962General Motors$11.4
1963General Motors$14.6
1964General Motors$16.5
1965General Motors$17.0
1966General Motors$20.7
1967General Motors$20.2
1968General Motors$20.0
1969General Motors$22.8
1970General Motors$24.3
1971General Motors$18.8
1972General Motors$28.3
1973General Motors$30.4
1974General Motors$35.8
1975Exxon Mobil$42.1
1976Exxon Mobil$44.9
1977Exxon Mobil$48.6
1978General Motors$55.0
1979General Motors$63.2
1980Exxon Mobil$79.1
1981Exxon Mobil$103.1
1982Exxon Mobil$108.1
1983Exxon Mobil$97.2
1984Exxon Mobil$88.6
1985Exxon Mobil$90.9
1986General Motors$96.4
1987General Motors$102.8
1988General Motors$101.8
1989General Motors$121.1
1990General Motors$127.0
1991General Motors$125.1
1992General Motors$123.8
1993General Motors$132.8
1994General Motors$133.6
1995General Motors$155.0
1996General Motors$168.8
1997General Motors$168.4
1998General Motors$178.2
1999General Motors$161.3
2000General Motors$189.1
2001Exxon Mobil$210.4
2002Walmart$219.8
2003Walmart$246.5
2004Walmart$258.7
2005Walmart$288.2
2006Exxon Mobil$339.9
2007Walmart$351.1
2008Walmart$378.8
2009Exxon Mobil$442.9
2010Walmart$408.2
2011Walmart$421.8
2012Exxon Mobil$452.9
2013Walmart$469.2
2014Walmart$476.3
2015Walmart$485.7
2016Walmart$482.1
2017Walmart$485.9
2018Walmart$500.3
2019Walmart$514.4
2020Walmart$524.0
2021Walmart$559.2
2022Walmart$572.8
2023Walmart$611.3
2024Walmart$648.1
2025Walmart$681.0

Closely following are the U.S. Virgin Islands (17.2%), Georgia (15.6%), and Nevada (15.2%).

However the map shows a clear clustering of the worst rates.

Eight of the top 10 jurisdictions with the highest cost-related avoidance are in the South. This underlines how lower average incomes and higher uninsured rates compound affordability challenges.

ℹ️ Related: See the most recent data for average incomes by state.

Policymakers in these states have also been slower to expand Medicaid, a factor that researchers link to higher out-of-pocket burdens for residents.

For example, Texas has one of the strictest Medicaid eligibility requirements. Adults under 65 who aren’t disabled or raising a child are ineligible for Medicaid regardless of how low their income is, per Healthinsurance.org.

Even parents can only qualify if their household income is extremely low. This would make it impossible for parents to hold even part-time jobs, as they will lose health coverage if their earnings rise above the threshold.

ℹ️ Related: Texas has a 13% poverty rate, 11th-highest in the country.

Where Fewer Americans Skip the Doctor

At the other end of the spectrum, Hawaii (6.7%), Vermont (7.0%), and Massachusetts (7.1%) report the lowest shares of adults dodging care for financial reasons.

In Massachusetts’ case, a legacy of near-universal coverage dating back to its 2006 healthcare reform was a model for the Affordable Care Act.

Interestingly, high-cost-of-living states like New York and California sit close to the national median, suggesting that robust insurance networks can offset other cost pressures.

ℹ️ Related: Californians and New Yorkers have the lowest purchasing power in the U.S.

With the federal Medicaid continuous-coverage provision now expired, analysts expect affordability gaps to widen unless state safety nets expand.

If you enjoyed today’s post, check out How Often People Go to the Doctor, by Country on Voronoi, the new app from Visual Capitalist.



TOPICS: Business/Economy; Health/Medicine; Society
KEYWORDS: affordability; healthcare
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1 posted on 10/10/2025 9:22:37 PM PDT by SeekAndFind
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To: SeekAndFind

“can’t afford healthcare” <> “not getting healthcare”


2 posted on 10/10/2025 9:24:33 PM PDT by ProtectOurFreedom
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To: SeekAndFind

Illegals don’t seem to have much trouble getting HC.


3 posted on 10/10/2025 9:25:31 PM PDT by Paladin2 (YMMV)
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To: SeekAndFind

File this as useless information generated by inaccurate and biased goverment surveys.

Lots of people would see a dr for a hangnail if it was free.

How many people actually skipped a dr appointment for a serious issue due to cost?

How many skipped or cancelled an appointment because the issue resolved itself before the appointment because wait times are so long?


4 posted on 10/10/2025 9:37:09 PM PDT by Valpal1 (Not even the police are safe from the police!!!)
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To: Valpal1

Visual Capitalist is a leftist propaganda site.


5 posted on 10/10/2025 9:42:59 PM PDT by Pres Raygun (Repent America!)
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To: SeekAndFind

Why do you post such crap? And don’t even comment yourself?


6 posted on 10/10/2025 10:12:29 PM PDT by norcal joe
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To: SeekAndFind

The map is accurate for me. In Oregon, I’m spending about 10% or my income for healthcare.


7 posted on 10/10/2025 10:36:15 PM PDT by jimtorr
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To: jimtorr

$32k/annually


8 posted on 10/10/2025 10:48:51 PM PDT by Gene Eric
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To: Valpal1

None. I can tell you there has been a significant reduction of the illegals jamming up my hospitals ER.

It’s nice.


9 posted on 10/11/2025 12:05:14 AM PDT by jmacusa ( Liberals. Too stupid to be idiots.)
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To: SeekAndFind

Bkmk


10 posted on 10/11/2025 12:46:54 AM PDT by sauropod
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To: SeekAndFind

health coverage for old people is stupid expensive. I can now see why some have to make choices between food and medications. America isn’t a financially friendly for older American that paid into this shitty system


11 posted on 10/11/2025 1:47:34 AM PDT by BigFreakinToad (107 Days of Kamal's BS.)
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To: BigFreakinToad

Cost shifting of insurance for Americans between 55 and 65, is just flat expensive.

Many who got onto Obamacare as an insurer of last resort, discovered poor health care and huge insurance bills.


12 posted on 10/11/2025 2:36:48 AM PDT by texas booster (Join FreeRepublic's Folding@Home team (Team # 36120) Cure Alzheimer's!)
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To: Paladin2

Great point.


13 posted on 10/11/2025 3:08:07 AM PDT by metmom (He who testifies to these things says, “Surely I am coming soon." Amen. Come, Lord Jesus….)
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To: SeekAndFind
The U.S. pours almost $13,000 per person into healthcare, yet average life expectancy is below nearly every other high-income nation.

Because people eat like crap and don't get out and move and get exercise.

This guy really advocates for healthy eating and has a lot to say on insulin resistance and its deleterious effect on health.

MILLIONS Have INSULIN RESISTANCE: Dangerous Pandemic | How to REVERSE Naturally Dr Suneel Dhand

https://www.youtube.com/watch?v=3WbicBfRpQ4

This particular video is one of his longest (an hour), but he has many others that are much shorter that deal with it. I just can't find them right now.

14 posted on 10/11/2025 3:14:39 AM PDT by metmom (He who testifies to these things says, “Surely I am coming soon." Amen. Come, Lord Jesus….)
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To: BigFreakinToad

ABSOLUTELY!!!!

And being FORCED onto Medicare at 65 doesn’t help any at all.


15 posted on 10/11/2025 3:15:48 AM PDT by metmom (He who testifies to these things says, “Surely I am coming soon." Amen. Come, Lord Jesus….)
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To: jmacusa

It is nice.

But guess who will be made to pay for the fact that the utilization rate is down.

And not just in the ER, I’ll bet.

Here’s how they handle it in my neck of the woods...

It takes weeks or months for certain procedures.

And it’s harder than hell to see an MD.

And, yeah, the costs are insanely high.

But then this isn’t really about healthcare, is it.


16 posted on 10/11/2025 3:17:07 AM PDT by mewzilla (Swing away, Mr. President, swing away! 🇺🇸 🏴󠁧󠁢󠁥󠁮󠁧󠁿)
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To: metmom

Technically you aren’t forced.

You can wait to sign up.

But you pay far more if you do that.

In the meantime I would love a catastrophic plan type coverage.

I can’t get that from anyone.


17 posted on 10/11/2025 3:20:06 AM PDT by mewzilla (Swing away, Mr. President, swing away! 🇺🇸 🏴󠁧󠁢󠁥󠁮󠁧󠁿)
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To: metmom

“And being FORCED onto Medicare at 65 doesn’t help any at all.”

Part A normally comes from 40 quarters of work. You don’t have to take it.

Part B and Part D have 10% premium penalties per year unless you take them and for Part B pay a $555/quarter premium.

My Part D plan is ‘free’ for me. I got an antibiotic prescription for dental work.


18 posted on 10/11/2025 4:05:26 AM PDT by Brian Griffin
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To: SeekAndFind

If you worked hard and you married right (hard worker as well) you can afford good health insurance and you can retire with good health insurance.

It’s not a right period and not a government handout.


19 posted on 10/11/2025 4:07:33 AM PDT by maddog55 (The only thing systemic in America is the left's hatred of it!)
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To: mewzilla

“In the meantime I would love a catastrophic plan type coverage.

“I can’t get that from anyone.”

In theory, coverage could be cobbled together outside of the exchanges. You might wish to talk to a licensed insurance agent about your options.


20 posted on 10/11/2025 4:09:50 AM PDT by Brian Griffin
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