Report Finds Nationwide Spike in Preventable Deaths, Maternal Mortality and Medical Bills

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Report Finds Nationwide Spike in Preventable Deaths, Maternal Mortality and Medical Bills
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The U.S. maternal mortality rate nearly doubled between 2018 and 2021, with COVID-19 as a “contributing factor” in more than 30% of maternal deaths, according to a new report. The report also says medical debt amounts to $88 billion nationwide.

puts U.S. states’ health care systems on a scorecard, with Massachusetts coming out on top. But it also highlights alarming trends across the country, especially in areas like premature deaths and women’s health care.Released Thursday, the Commonwealth Fund’s 2023 Scorecard on State Health System Performance uses federal health data from 2021 — the most recent available — to rank all 50 states and the District of Columbia on 58 measures of health outcomes, equity and affordability.

Some states, however, did worse than others. Rates in Louisiana, Mississippi, Texas and New Mexico climbed over 35% from 2019 to 2021; Arizona’s rose 45%. Beyond illnesses, gun violence took the lives of 48,830 people in 2021, and gun-related deaths increased 23% from 2019 to 2021, in part due to an increase in mass shootings and suicides.

And across the board, deaths from all causes among women of reproductive age jumped nearly 40% from 2019 to 2021. Maternal deaths helped drive that increase, but preventable deaths from COVID-19 and substance abuse also played a major role. The report uses reproductive health data before the U.S. Supreme Court overturned Roe v. Wade in June 2022.

Federal funding increased for Affordable Care Act marketplace enrollment, and several states expanded Medicaid eligibility between 2019 and 2021. As a result, uninsured rates dropped in all but seven states.

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