Best and worst states for healthcare in 2019

The best state in the nation for healthcare is Hawaii, according to a new ranking from U.S. News & World Report.

The rankings measured the quality of health of the U.S. by state, evaluating access preventative medical and dental treatment for children and adults equally. The states were ranked on three benchmarks––access to care, quality of care and overall health of the population.

While Hawaii came out on top coverall, California actually had the best public health ranking, while Hawaii was No. 1 for healthcare quality and Connecticut took the top spot for healthcare access.

Here are the 10 best states overall for healthcare, according to the 2019 ranking:

  1. Hawaii
  2. Massachusetts
  3. Connecticut
  4. Washington
  5. Rhode Island
  6. New Jersey
  7. California
  8. Maryland
  9. Utah
  10. Minnesota

The measures included the percentage of adults who went without healthcare insurance and the percentage of those that have gone without a checkup in the past year, even those who didn’t go because of the cost. U.S. News & World Report also looked at the percentage of children receiving medical and dental care under Medicaid, as well as preventable hospital admissions, readmissions within 30 days of a discharge, nursing home quality ratings and the number of seniors covered under Medicare Advantage plans.

Here are the 5 states on the bottom of the ranking in 2019:

46. Alabama

47. Oklahoma

48. West Virginia

49. Arkansas

50. Mississippi

Overall mortality an infant mortality rates, as well as general measures that correspond with good physical and mental health were considered, such as smoking, obesity and suicide.

The list comes as U.S. political parties are head-to-head over the direction of healthcare, with some Democrats pushing for universal healthcare coverage and the Trump administration working to overturn the Affordable Care Act in the courts.