U.S. Women's Health Care Still Falls Short: Report

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Obesity was the only indicator that worsened in every state since 2004.

"The implications for that are enormous," Dr. Michelle Berlin, associate professor of obstetrics and gynecology at Oregon Health and Science University, said at the teleconference. "Rates of diabetes and other cardiovascular diseases are on the rise across the U.S. and obesity is a clear link to that."

The report also looked at whether states have adopted 63 policies considered important for women's health. Only two policy goals were met by all states.

"Those were Medicaid coverage for breast and cervical cancer treatment and participation in the Food Stamp Nutrition and Education program," Waxman said.

Nine states met a majority (32 or more) of the policy goals, up from three in 2004. California, New York and Rhode Island were at the top of the list, while Idaho, North Dakota and South Dakota were at the bottom.

There was some progress in adopting policies for screenings for sickness. Twenty states (up from 17 in 2004) now require insurers to cover colorectal cancer screenings. And 11 states (up from eight in 2004) require coverage for osteoporosis screening. On the other hand, only 20 states (down from 21 in 2004) require insurers to cover annual mammograms for women over 40.

"There's been minimal progress on implementing some of these policies and, unfortunately, it is piecemeal and inconsistent," Waxman said.

The new report also spotlighted the issue of women's health insurance, and in this area the nation and states are still lacking.

No state met the goal for access to health insurance. Nationwide, 18 percent of women aged 18 to 64 were uninsured. In 2007, five states decreased Medicaid eligibility levels for working parents, making it more difficult for low-income people to get insurance.

The report also found great regional differences in the health status of women. Hawaii had the lowest percentage of obese women (16.7) percent, while Mississippi had the highest percentage (31.5 percent). Utah had the lowest number of women with high blood pressure (17.7 percent), while Mississippi, again, had the worst (34.4 percent). Minnesota had the lowest proportion of women with diabetes (4.3 percent), while West Virginia had the highest (11.1 percent) and Mississippi the second highest (10.6 percent).

"Health disparities are still an enormous problem in the U.S.," Berlin said. "We have made few gains in the time that we have had these report cards. There's not much time remaining before the year 2010 arrives."

More information

View the report at the National Women's Law Center.