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National (U.S.)

Explore how U.S. residents rated their experience with the healthcare system. The results below show how the nation performed overall and across four key domains: cost, quality and access.

Scorecard Tablist

Overall Scores

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ABCDFOVERALLC
Cost D+
Quality C+
Access C+

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Americans rate their local healthcare systems differently across states and against national-level results, revealing stark contrasts in affordability, availability and overall experience.

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Download the Report Card

This one-page report card provides a snapshot of how healthcare is experienced across key areas — cost, quality, access and mental health — along with additional insights that highlight opportunities for impact.

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National Rankings

Healthcare rankings for all states sorted by Overall.
RankStateOverallCostQualityAccess
1Iowa C+D+C+C+
2Massachusetts C+D+B-C+
3District of Columbia CD+C+C
4Rhode Island CD+C+C
5Virginia C+D+C+C+
6Pennsylvania C+D+C+C+
7North Carolina C+D+C+C+
8North Dakota C+D+C+C+
9Michigan C+D+C+C+
10Nebraska C+DC+C+
11Ohio C+D+C+C+
12Minnesota C+D+C+C+
13Wisconsin C+D+C+C+
14Maryland C+D+C+C+
15New York CD+CC
16New Jersey C+D+C+C+
17Connecticut C+D+C+C+
18Missouri CD+C+C+
19New Hampshire C+D+C+C+
20South Carolina C+D+C+C+
21South Dakota C+D+C+C+
22California CD+C+C
23Georgia CD+CC
24Hawaii C+C-C+C
25Tennessee CDCC
26Colorado CDC+C+
27Illinois C+D+C+C+
28Maine CDCC
29Utah C+D+C+C+
30Indiana CD+C+C+
31Idaho CDC+C
32Alabama C+D+C+C+
33West Virginia CDCC
34Washington CD+C+C
35Kentucky CD+CC
36Louisiana CD+CC+
37Kansas CD+C+C+
38Florida CD+C+C+
39Wyoming CD+CC
40Oklahoma C-D+CC
41Oregon CDCC-
42Montana CDC+C
43Arkansas CD+CC
44Mississippi CD+CC+
45Arizona CD+CC
46Delaware CD+CC-
47Vermont C-DCC-
48Texas CD+C+C+
49New Mexico C-D+CD+
50Nevada C-D+C-C-
51Alaska C-DCC-