The 2018 Commonwealth Fund scorecard that measures health system performance in all 50 states and the District of Columbia shows that the combined death rate from suicide, alcohol, opioids, and other drugs increased by 50 percent nationwide between 2005 and 2016. This state-by-state report measures access to care, quality of care, health outcomes, and health disparities across the United States.


David C. Radley, Douglas McCarthy, and Susan L. Hayes, The Commonwealth Fund, May 2018

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