50 states ranked by the share of adults lacking a usual place of care

Here is a ranking of the 50 states by the percentage of adults who do not have a usual place for medical care.

Percentages are based on adults' responses to the survey question, "Is there a place that you usually go to when you are sick or need advice about your health?" If there was at least one such place, respondents were asked a follow-up question: "What kind of place [is it/do you go to most often] — a clinic, physician's office, emergency room or some other place?" If adults indicated that the ER was their usual place for care, they were considered not to have a usual place for medical care.

This list is based on data from the Center for Disease Control and Prevention and the National Center for Health Statistics.

The percentage of adults who do not have a usual place of medical care ranged from 2.8 percent in Vermont to 26.7 percent in Nevada. The national average for adults not having a set medical care location was 17.3 percent.

State-level differences in the percentage of uninsured Americans may affect healthcare access and utilization. For example, the percentage of adults without a usual place of medical care was lower in states that expanded Medicaid than states lacking expansion.

Estimates are based on the 2014 National Health interview survey, a nationally representative sample of the noninstitutionalized U.S. population between the ages of 18 and 64.

States total 50, although the list includes ties, which are represented with bullets and result in a numerical listing of 44.

1. Vermont – 2.8 percent
2. Delaware – 6.8 percent
3. Massachusetts – 7.5 percent
4. Wisconsin – 9.5 percent
5. Hawaii – 10.0 percent
6. Connecticut- 10.1 percent

• Rhode Island – 10.1 percent

7. New Hampshire – 11.6 percent
8. North Dakota – 11.9 percent
9. New York – 12.1 percent

• South Dakota – 12.1 percent

10. Alabama – 12.2 percent
11. Iowa - 12.4 percent
12. Maine – 12.6 percent
13. Pennsylvania – 12.7 percent
14. Michigan – 14.3 percent

• Minnesota – 14.3 percent

• Tennessee – 14.3 percent

15. Maryland – 14.6 percent
16. Indiana - 14.8 percent
17. Ohio – 15.6 percent
18. Montana – 15.8 percent
19. New Jersey – 15.9 percent

• Virginia – 15.9 percent

20. Kansas – 16.1 percent

• Missouri – 16.1 percent

21. North Carolina –16.2 percent
22. District of Columbia – 16.4 percent
23. Utah – 16.5 percent
24. Illinois – 16.9 percent
25. Louisiana – 17.0 percent
26. Arkansas – 17.1 percent

• Nebraska – 17.1 percent

27. Georgia – 17.4 percent
28. South Carolina – 18.7 percent
29. California – 18.9 percent
30. Mississippi – 19.3 percent
31. Oklahoma – 19.6 percent
32. Washington – 19.7 percent
33. Colorado – 20.0 percent
34. New Mexico – 20.8 percent
35. West Virginia – 21.3 percent
36. Florida – 21.5 percent
37. Alaska – 22.9 percent
38. Arizona – 23.1 percent
39. Kentucky – 23.3 percent
40. Wyoming – 23.6 percent
41. Oregon - 23.7 percent
42. Texas – 25.4 percent
43. Idaho – 26.6 percent
44. Nevada – 26.7 percent

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