Health in South Carolina

How much is spent on healthcare in South Carolina? What is the death rate in South Carolina?

Latest update on August 7, 2023
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What are the basics of healthcare issues in South Carolina?

How has the death rate changed in South Carolina?

Death rate (age-adjusted)

In 2022, South Carolina's age-adjusted death rate was 969.2 deaths per 100,000 people.

After accounting for differences in age makeup between states, South Carolina is ranked 9th-highest based on its death rate.

The death rate, also known as mortality rate, is determined using this data in combination with population data. A simple per capita calculation — called the crude death rate — isn't ideal for comparisons, as it doesn't account for differences in age makeup between two groups. For example, an area where more than 50% of the population is over 65 will likely have a higher crude death rate than a place where 10% is 65 or older. Age-adjusted death rates, shown here, allow for comparison between two populations with different age makeups. (Explore South Carolina's demographics.)

The Centers for Disease Control and Prevention is the primary federal agency tracking deaths nationwide. It maintains the National Vital Statistics System, which gathers death information from every state.

South Carolina's age-adjusted death rate increased after the COVID-19 pandemic. It was 20.5% higher in 2022 compared with 2019.

Top underlying causes of death

In 2022, the top cause of death in South Carolina was heart disease.

The age-adjusted death rate of heart disease was 188.6 per 100,000 South Carolina residents. That's 7.5% higher than the overall heart disease death rate in the US.

The National Vital Statistics System tracks the underlying (or primary) cause of death by recording information from death certificates. The leading causes of death differ by state.

How healthy are people in South Carolina?

Health indicators

In 2021, the percentage of South Carolina adults who have been told they have high cholesterol was 31.3%, up 0.4 percentage points from 2015.

The Centers for Disease Control and Prevention conducts the Behavioral Risk Factor Surveillance System (BRFSS) survey, a key way to track health trends at the state level. The survey is one of many sources that public health agencies use for prioritizing and monitoring health interventions.

Here's how South Carolina fares on other health indicators:

  • Arthritis: In 2021, 29.7% of South Carolina adults were ever diagnosed with arthritis, up 0.7 percentage points from 2015.
  • Hypertension (high blood pressure): In 2021, 37.7% of South Carolina adults have been told they had high blood pressure, down 0.1 percentage points from 2015.
  • Obesity: In 2021, 31.3% of South Carolina adults were classified as obese (based on body mass index), up 1.6 percentage points from 2015.

What is the life expectancy in South Carolina?

Life expectancy at birth

In 2020, South Carolina ranked 42nd based on life expectancy. A newborn in South Carolina was expected to live 74.8 years.

Life expectancy in South Carolina is 2.2 years lower than life expectancy in the US overall.

Life expectancy is a projection estimating the average age of death for people born today. The calculation uses data from the Centers for Disease Control and Prevention. The data can be a way to assess the impact of health issues such as overdoses and COVID-19.

How much is spent on the health of South Carolina residents?

Healthcare spending per capita

In 2020, healthcare spending by businesses, insurance agencies, households, and governments cost $10,225 per South Carolina resident.

South Carolina ranks 44th-highest based on healthcare spending per person.

The Centers for Medicare & Medicaid Services provides estimates of healthcare spending in its National Health Expenditure Accounts (NHEA). The data is further broken down into other categories, including the state of residence of the recipient of care. The estimates are calculated from a number of sources, including the Census Bureau and the Bureau of Economic Analysis.

While healthcare spending is expected to grow with the population, per-capita trends can provide context on how costs have changed over time.

Learn more about the economy in South Carolina

How many people in South Carolina do not have health insurance?

Share of South Carolina's population without health insurance

In 2021, 10.0% of South Carolina's residents weren't covered by health insurance. That's a higher share than the US overall.

South Carolina is ranked 12nd-highest based on its share of the uninsured population.

Health insurance in South Carolina is available through various avenues. The primary way to get insurance is privately through employers. Publicly funded options include Medicare (primarily for people 65 and older), Medicaid (for low-income individuals), and plans available for active-duty military members and veterans. The Affordable Care Act expanded access to Medicaid in some states and established an online marketplace where people could buy private coverage.

Since 2013, the year before most ACA provisions went into effect, the share of the uninsured population in South Carolina became 5.8 percentage points lower. Data from the Census Bureau’s American Community Survey shows that the decrease in the share of uninsured residents occurred in every state.

Health insurance coverage by type

In 2021, 38.9% of South Carolina's population was covered by public health insurance plans funded by governments at the federal, state, or local level.

The Census Bureau’s American Community Survey asks respondents in South Carolina about their health insurance coverage source, including private plans (employer-based, direct-purchase, and Tricare or military) and publicly funded plans (like Medicaid, Medicare, or VA healthcare). The values in this chart may add up to more than 100%, because some people may be covered by multiple insurance types.

Additionally, 65.4% of South Carolina's population were covered by private health insurance plans.

Are there fewer babies being born in South Carolina?

Birth rate

In 2021, there were 10.8 babies born per 1,000 South Carolina residents.

As with most states, South Carolina's birth rate has been trending down in recent years.

The birth rate is the number of live births per 1,000 people. The data shown here is from the Census Bureau. Looking at the data as a rate rather than just the number of births allows a better understanding of changes over time.

Due to its role in population growth, the birth rate impacts various issues, including health and education. The CDC has attributed a recent drop in the birth rate to "changing patterns in social and cultural norms, as well as increases in educational attainment and contraceptive use."

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