Healthcare

Louisiana consistently ranks among the unhealthiest states in the US, frequently placing 50th due to high rates of chronic disease, poverty, and limited access to care. Major issues include high obesity (38.1%), diabetes (14.1%), smoking, and significant racial disparities in maternal and infant mortality. Over 98% of residents live in health professional shortage areas, with 2026 bringing major changes to Medicaid provider contracts.

Key Healthcare Issues in Louisiana:

Poor Health Outcomes & Chronic Disease: Louisiana has high rates of heart disease, stroke, and cancer. Obesity and diabetes rates are significantly higher than the national average.

Maternal & Infant Health: The state has one of the highest infant mortality rates in the US, with Black infants dying at twice the rate of white infants. Maternal mortality is also significantly higher than the national average.

Provider Shortages & Access: Nearly the entire state is considered a health professional shortage area, limiting access to primary, dental, and mental healthcare.

Affordability & Insurance Changes: 67% of adults report healthcare affordability burdens. As of 2026, the state is changing Medicaid managed care providers (Aetna and UnitedHealthcare contracts are not being renewed), impacting care for hundreds of thousands.

Social & Environmental Factors: High rates of poverty, food insecurity, and environmental pollution in certain regions (e.g., "Cancer Alley") contribute to poor health.

Substance Abuse: Opioid-related overdose deaths, particularly among pregnant women, are a major focus, with initiatives like Project M.O.M. attempting to improve care.

Mental Health: There are high rates of frequent mental and physical distress.