Black Hills Knowledge Netowork

The Spearfish micropolitan area (Lawrence County) as the state's highest rate of uninsured.
The Spearfish micropolitan area (Lawrence County) as the state's highest rate of uninsured.
Black Hills Knowledge Network chart
December 17, 2014

Black Hills Cities Have State's Highest Rates of Uninsured

Communities in the Black Hills dominate the list of those with the highest rates of uninsured residents, while communities surrounding Sioux Falls boast South Dakota's lowest rates of residents lacking health insurance, according to newly updated federal data. 

Three of the five communities with the highest rates are in the Black Hills. See the complete list plus interactive charts and graphs on the South Dakota Dashboard's Health Insurance Coverage page

 Belle Fourche  21.3%
 Lead  21.1%
 Winner  20.7%
 Milbank  18.2%
 Hot Springs  17%

Other Black Hills communities, among South Dakota's most populous 27 municipalities, have high rates of uninusred - No. 6 Box Elder, 16.6%; No. 7 Spearfish, 15.4%; No. 8 Rapid City, 15.1%, and No. 10 Sturgis, 14.4%. 

The five communities with the lowest rates of uninured are all in southeast South Dakota. (The figures are averages for the years 2009-2013.) 

 Tea  3.4%
 Dell Rapids  4.3%
 Harrisburg  6.9%
 Brandon  7.1%
Canton 7.6%

When looking at the state's three metropolitan areas and nine micropolitan areas, the Aberdeen micropolitan area (Brown and Edmunds counties) stands out as having the lowest rate of uninsured residents, at 8.1% for 2009-2013. The Spearfish micropolitan area (Lawrence County) has the highest rate, 17%. (To see the complete list, choose the "By metropolitan and micropolitan areas" option from the Breakdown drop-down menu on the graph linked to above.)

Among South Dakota's nine Indian reservations, the Yankton reservation has the lowest rate of uninsured, at 25.9%, while the Crow Creek reservation has the highest rate, 54.7%. (Access to federal Indian Health Service care is not considered to be health insurance.)

When looking at racial/ethnic groups, American Indians have the highest rate of being uninsured - 36.9% - while non-Hispanic whites claim the lowest - 10.1 %. These rates compare to the rates for Hispanics (29%) and blacks (16.6%) and Asians (17.6%). 

The rate of uninsured, under age 65, for the entire state of South Dakota is 13.7%, below the national rate of 16.7%. 


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