The United Health Foundation released its 28th annual “America’s Health Rankings” report, in which it grades all 50 states and the District of Columbia by a wide variety of health-related measures, including obesity, smoking, air pollution and child poverty.
Minnesota dropped from fourth to sixth place in the 2017 rankings, which puts us back to where we were in 2014.
The report says Minnesota’s key strengths are a low percentage of uninsured residents, a low cardiovascular death rate and a low percentage of children living in poverty.
The state’s major “challenges” are a high prevalence of excessive alcohol drinking, a high incidence of whooping cough (pertussis) and low per capita public health funding.
First place went — for the first time — to Massachusetts. Also “beating” us were Hawaii, Vermont, Utah and Connecticut.
Last place — for the second time — went to Mississippi, followed by Louisiana, Arkansas, Alabama and West Virginia.
One of Minnesota’s neighboring states, North Dakota, experienced the largest drop in the rankings, falling seven places to number 18. Lower measures for smoking, salmonella food poisoning and immunizations among children were key factors in that decline.
Minnesota’s other near-neighbors came in 15th (Iowa), 21st (Wisconsin) and 24th (South Dakota).
Data used in the report is derived from a variety of sources, including the Centers for Disease Control and Prevention, the American Medical Association, the U.S. Census Bureau, and the U.S. Environmental Protection Agency.
The good and the bad
The report emphasizes a recent overall national health trend that is highly troubling. After declining by 20 percent between 1990 and 2015, the nation’s premature death rate — the number of years lost before age 75 — increased for the third straight year, and is now up 3 percent since 2015.
Some of that increase is driven by a 2 percent rise in cardiovascular deaths during that period — a rise that follows a 25-year pattern of continuously decreasing cardiovascular deaths. But an even bigger factor is the current opioid epidemic. Drug-related deaths jumped 7 percent in the past year alone. It’s now at 15 deaths per 100,000 people — a new high.
As the report notes, the United States ranks 27th in life expectancy among the 35 countries in the Organization for Economic Cooperation and Development (OECD).
“Results show the U.S. has a higher infant mortality rate, a higher prevalence of obesity and a lower life expectancy at birth compared with most OECD member countries,” the report says. “Even the top U.S. state in each of these measures ranks toward the bottom among OECD countries.”
Yet the U.S. spends significantly more on health care — both per person and relative to its wealth — than other nations.
The other worrying trend highlighted in this year’s report is the uneven geographical distribution of key health care providers, including mental health providers. Some states have six times the number of mental health providers as other states, the report points out. Massachusetts, for example, has 547 mental health providers per 100,000 people, while Alabama has 85 per 100,000. (Minnesota has 217 per 100,000.)
There’s some good national news in the report, however. The number of Americans who are smoking, the rate of preventable hospitalizations and the percentage of people without health insurance continued to fall in 2017.
The health insurance trend is likely to be reversed in upcoming years, however, if the Republican tax plan currently moving through Congress is passed. Health economists say the number of uninsured Americans will surge if the bill becomes law, due primarily to its repeal of the Affordable Care Act’s individual mandate.
Other Minnesota trends
Here are some additional Minnesota health trends that are highlighted in the 2017 America’s Health Rankings report:
In the past year, diabetes increased 11% from 7.6% to 8.4% of adults.
In the past three years, chlamydia increased 15% from 337.8 to 389.3 cases per 100,000 population.
In the past five years, lack of health insurance decreased 55% from 9.5% to 4.3% of population.
In the past five years, smoking decreased 20% from 19.1% to 15.2% of adults.
In the past 10 years, drug deaths increased 98% from 5.0 to 9.9 deaths per 100,000 population.