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The Shocking Healthcare Divide Across States

September 25, 2025 · 7 min read

The Policy Side: Why It Matters for the Future

Healthcare spending isn’t just a number in a report. It affects taxes, insurance premiums, and even how many doctors are available in your community. Policymakers wrestle with balancing cost, access, and quality—and the choices they make will directly impact your wallet.

  • Medicaid expansion has played a big role. States that expanded Medicaid under the Affordable Care Act generally saw higher spending, but also more people covered.

  • Public health funding varies widely. Vermont spends more than four times as much per person as Texas on public health programs.

  • Innovation vs. affordability – States that lead in medical innovation often have higher costs, raising the question of whether residents truly benefit.Find out what you can do on the next page. 
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