Key findings:

  • An average of 14.2% of people reported not seeing a doctor in the past 12 months due to cost.
  • In July 2020, 53% of Americans reported negative mental health effects from the coronavirus, up from 32% in March, and 13.8 million Americans reported unmet needs for mental health care.
  • Only 48.5% of children have a medical home. For children in uninsured homes, the rate of children with a medical home is 27.8%.
  • Among adults, 22.8% reported not having a personal doctor. Many of the states with the highest rates of adults without a doctor were more rural, with historically less access to health care.

Unfortunately, access to healthcare is not equal across the country. A sick person is likely to face a different healthcare experience in one state versus someone with the same illness in another. While an average of 14.2% of people haven’t seen a doctor in the past 12 months, that figure is 18.2% in Georgia, compared to 7.3% in Hawaii. Having a regular doctor to visit is something many of us take for granted, but based on the data, many Americans don’t have a doctor to call their own. Families that don’t see a doctor regularly often don’t have access to a regular doctor. While 48% of children have a medical home, over 27% of children from uninsured families have a medical home.

Uninsured and underinsured families often have few options when it comes to receiving regular healthcare. As we’ve analyzed four key factors that determine a state's access to healthcare, it’s clear many states under deliver on healthcare. Even with Medicaid expansion, in 39 states, there is still a void in accessibility.

Our research team at QuoteWizard analyzed Kaiser Family Foundation data on four different healthcare access factors to see which states had the best and worst access to healthcare. The four factors we looked at were:

  • Adults without a personal doctor.
  • Children with a medical home.
  • Adults with unmet needs for mental health treatment.
  • Adults who haven’t seen a doctor because of cost.

Our rankings are a composite score between the four healthcare access figures we analyzed. States with the highest rankings were considered to have the best access to healthcare.

Rank Location No Personal Doctor Children With Medical Home Unmet Need for Mental Health Not Seeing a Doctor Because of Cost
1 Hawaii 15.0% 51.2% 3.1% 7.3%
2 Vermont 14.3% 61.0% 6.0% 7.6%
3 Connecticut 15.8% 56.7% 5.7% 9.2%
4 Massachusetts 13.3% 60.1% 6.7% 8.8%
5 Maryland 16.4% 54.9% 5.5% 11.2%
6 New Hampshire 13.8% 58.5% 6.5% 10.6%
7 Iowa 17.5% 55.0% 6.5% 7.7%
8 Illinois 18.0% 51.7% 5.0% 11.5%
9 Maine 14.8% 58.0% 6.1% 11.8%
10 Nebraska 22.3% 59.5% 5.4% 11.8%
11 Minnesota 24.2% 52.2% 4.6% 10.0%
12 Ohio 20.3% 55.1% 6.1% 10.2%
13 New York 19.6% 48.9% 5.0% 11.0%
14 North Dakota 27.4% 54.6% 5.3% 9.3%
15 Michigan 14.9% 48.7% 5.5% 11.8%
16 Wisconsin 17.4% 46.2% 6.0% 9.9%
17 New Jersey 20.4% 48.2% 4.5% 13.1%
18 South Dakota 25.3% 49.6% 5.5% 10.5%
19 Rhode Island 13.9% 48.5% 7.3% 10.5%
20 Tennessee 23.6% 53.0% 4.5% 15.8%
21 Indiana 20.2% 54.9% 6.9% 12.2%
22 Pennsylvania 15.1% 41.7% 6.1% 9.4%
23 Virginia 22.2% 54.5% 6.0% 13.0%
24 Washington 24.0% 56.4% 7.2% 11.0%
25 North Carolina 22.0% 55.2% 5.8% 15.1%
26 Delaware 18.3% 45.2% 6.3% 10.6%
27 Kentucky 19.0% 52.1% 6.9% 12.6%
28 Montana 27.2% 48.2% 5.8% 10.1%
29 California 25.3% 44.3% 5.2% 11.9%
30 Alabama 21.9% 50.1% 5.6% 16.2%
31 Kansas 22.3% 50.3% 7.2% 12.1%
32 West Virginia 18.6% 49.7% 6.5% 14.9%
33 Louisiana 23.3% 47.1% 5.6% 14.8%
34 Missouri 23.4% 52.4% 7.3% 13.3%
35 Oregon 25.0% 53.1% 8.9% 12.6%
36 Wyoming 32.2% 46.6% 4.7% 13.2%
37 South Carolina 23.9% 49.1% 5.8% 15.8%
38 New Mexico 31.1% 42.0% 4.6% 13.0%
39 Colorado 26.0% 51.5% 7.6% 12.2%
40 Oklahoma 24.2% 45.6% 5.5% 14.9%
41 Mississippi 26.0% 47.9% 5.4% 17.6%
42 Alaska 37.0% 48.0% 5.5% 13.6%
43 Arkansas 18.7% 42.7% 6.5% 14.9%
44 Florida 26.2% 40.8% 4.8% 16.2%
45 Texas 31.8% 44.1% 4.1% 16.8%
46 Georgia 28.2% 45.9% 5.1% 18.2%
47 Utah 27.4% 50.1% 9.0% 13.0%
48 Arizona 26.4% 44.0% 6.1% 13.3%
49 Idaho 28.9% 44.9% 7.3% 15.0%
50 Nevada 30.5% 36.5% 7.2% 14.5%