Oklahoma ranks 49th in the nation for overall health care system performance, according to the 2025 scorecard from the Commonwealth Fund, a nonprofit focused on independent health policy research. Only Texas and Mississippi scored lower, with Washington, D.C., included in the rankings.
The state scored especially poorly in breast cancer deaths, infant mortality, suicide rates, and medical debt. It also ranked 48th in access and affordability and 46th in racial health equity and preventive care. Oklahoma was among the bottom five for deaths from treatable and preventable causes.
One of the few bright spots was its ranking for primary care spending for seniors.
Dr. Joseph Betancourt, president of the Commonwealth Fund, said the findings emphasize how state-level health policy can directly impact outcomes. Though the nation has seen broader improvements in health coverage, the report warns those gains could reverse under proposed federal Medicaid cuts.
In 2024, Oklahoma was also ranked near the bottom for maternal mortality, a continued area of concern for public health advocates.
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