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South Dakota, the Mount Rushmore State, ranks 19th in the most recent America’s Health Rankings. Although the state makes the Top 20, South Dakota rates poorly in several categories: incidence of chlamydia (35th); immunization among adolescents (48th); infant mortality (44th); infectious disease (38th); salmonella (41st); heart attack (37th); and, teen birth rate (31st).
In the past year, HPV immunization among young females aged 13 to 17 years decreased 22% from 42.3% to 33.1%. Over the past two years, children living in poverty has increased 21%, while the number of cancer deaths since 1990 has increased 3% from 178.9 to 184.8 per 100,000 individuals. The state has over 853,000 residents, with 9% of the population uninsured. The average cost of an inpatient hospital stay before insurance is $1,294 per day based on 2014 data, according to The Henry J. Kaiser Family Foundation. South Dakota had healthcare expenditures totaling more than $5.7 billion in 2009. The state has 53 hospitals and 30 HMO groups with membership exceeding 84,200 individuals.