Insurance Insecurity Index
Despite significant declines in the number of Americans without health insurance over the past decade, there are still approximately 26 million without any coverage. ASSURANCE carried out a study of County Health Rankings data to determine which areas of America have the largest number of people who are uninsured, and are in poor health. The results are as follows.
% Poor Health
Average Number of Physically Unhealthy Day
Uninsured (Population)
% Uninsured
Uninsured with Poor Health (Population)
| Ranking | State | % Poor Health | Average Number of Physically Unhealthy Days | Uninsured (Population) | % Uninsured | Uninsured with Poor Health (Population) |
|---|---|---|---|---|---|---|
| 26 | Rhode Island | 17 | 3.9 | 40,378 | 5 | 6,864 |
| 27 | Alaska | 16 | 4.1 | 88,519 | 14 | 14,163 |
| 28 | Illinois | 16 | 3.6 | 853,809 | 8 | 136,609 |
| 29 | Kansas | 16 | 3.6 | 241,000 | 10 | 38,560 |
| 30 | New York | 16 | 3.6 | 1,007,242 | 6 | 161,159 |
| 31 | Delaware | 16 | 3.7 | 51,804 | 7 | 8,289 |
| 32 | New Jersey | 16 | 3.7 | 642,184 | 9 | 102,749 |
| 33 | Idaho | 15 | 3.7 | 190,472 | 13 | 28,571 |
| 34 | Wyoming | 15 | 3.5 | 58,689 | 12 | 8,803 |
| 35 | Hawaii | 15 | 3.2 | 53,377 | 5 | 8,007 |
| 36 | Maryland | 15 | 3.4 | 346,367 | 7 | 51,955 |
| 37 | Utah | 15 | 3.5 | 288,573 | 10 | 43,286 |
| 38 | Washington | 15 | 3.7 | 469,557 | 7 | 70,434 |
| 39 | Wisconsin | 15 | 3.7 | 306,773 | 7 | 46,016 |
| 40 | Colorado | 14 | 3.3 | 419,456 | 9 | 58,724 |
| 41 | Massachusetts | 14 | 3.5 | 182,533 | 3 | 25,555 |
| 42 | Montana | 14 | 3.6 | 86,396 | 10 | 12,095 |
| 43 | North Dakota | 14 | 3.2 | 50,455 | 8 | 7,064 |
| 44 | Nebraska | 14 | 3.2 | 149,728 | 9 | 20,962 |
| 45 | Minnesota | 13 | 3.1 | 238,150 | 5 | 30,960 |
| 46 | Connecticut | 13 | 3.3 | 178,690 | 6 | 23,230 |
| 47 | Iowa | 13 | 3.1 | 142,584 | 6 | 18,536 |
| 48 | New Hampshire | 13 | 3.5 | 76,244 | 7 | 9,912 |
| 49 | Vermont | 13 | 3.7 | 23,522 | 5 | 3,058 |
| 50 | South Dakota | 13 | 3 | 80,090 | 11 | 10,412 |
Data based on County Health Rankings 2021. https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county-health-rankings-model/health-outcomes/quality-of-life/poor-or-fair-health https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county-health-rankings-model/health-outcomes/quality-of-life/poor-physical-health-days https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county-health-rankings-model/health-factors/clinical-care/access-to-care/uninsured
