The data behind the conversation

The Cost of
Getting Care.

What the numbers say about healthcare access in Southeast Missouri, and, just as importantly, what they don't say.

Getting care takes more than deciding to go. A doctor has to be within reach, you need a way to pay, and the price has to be one you can actually absorb.

This snapshot pulls together county-level numbers on four of those conditions: how residents rate their own health, who has insurance, who needed dental care and couldn't afford it, and how many primary care doctors practice nearby. It also includes poverty and child poverty figures as economic context. It draws on data for eighteen Southeast Missouri counties; the charts show selected counties from that set.

Every figure is taken from the source named beside it, along with the year the data was collected. Where a difference is large enough that the state's own study calls it statistically significant, that's noted. Where it isn't, that's noted too.

What this snapshot does not do is claim that any one of these conditions causes another. It shows that they exist alongside each other in the same counties. That distinction matters, and it is kept throughout.

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The numbers, county by county

All eighteen counties in the snapshot, not just the ones on the slides. Pick a measure. Missouri is shown in gold for comparison.

CountyChartValue

Where the numbers come from

  • 2022 Missouri County-Level StudyMissouri DHSS. Telephone survey of adults, 2022. Differences are tested against the rest of Missouri, never county against county.
  • Census SAIPE, 2023Model-based county estimates for poverty, child poverty and median household income.
  • County Health Rankings, 2025 releasePhysician ratios from 2021 data. Counts doctors practicing in a county, not waits or travel.
  • KFF State Health FactsKFF analysis of the CDC's 2025 BRFSS. Missouri statewide, never county-level.
  • HRSA Data WarehouseShortage designations for all 18 counties, pulled November 2026. Active only.

Found something wrong? Tell me at softspokenconvos.com/talk or email softspokenconvos@gmail.com, and I will correct it. I'm a paid fellow in Missouri Foundation for Health's Creator Fellowship. The analysis and the writing are mine.