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Vermont, the Green Mountain State, ranks 2th in the most recent America’s Health Rankings. Though the state makes the Top 5, Vermont rates poorly in pertussis (42nd). In the past 20 years, children living in poverty has increased 31% from 8.8% to 11.5% of all children. Texas has over 326,560 residents, with 6% of the population uninsured. The average cost of an inpatient hospital stay before insurance is $2,033 per day based on 2014 data, according to The Henry J. Kaiser Family Foundation. Vermont had healthcare expenditures totaling more than $4.7 billion in 2009. The state has 14 hospitals and 26 HMO groups with membership exceeding 23,100 individuals.