39 measures · each with its source and date · the list of what was held back, and why, is at the bottom · generated 2026-09-07
This page sets Iowa against the other states on health, education, the
economy, housing, infrastructure, agriculture and water. A measure appears
here only after it was checked against the primary source, and every rank
is printed with how many places it was ranked against and which end is the
good end. Measures where Iowa does well get the same treatment as the rest,
and each rank is counted from the good end, so a 1st is never ambiguous.
Agriculture · as of Filings Jan 1 - Dec 31, 2025; farm counts 2025
Iowa's family farm bankruptcy filings more than doubled in a year.
38thof 50 jurisdictions
Read this carefully. Iowa filings went from 7 in 2024 to 18 in 2025, an increase of 157 percent. The widely quoted 220 percent comes from Farm Bureau prose that contradicts Farm Bureau's own map, which reconciles exactly to U.S. Courts totals.
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Family farm bankruptcy filings. Chapter 12 filings per 1,000 farms.
Item
Value
Period or note
Iowa
0.21
Filings Jan 1 - Dec 31, 2025; farm counts 2025
National
0.16
Filings Jan 1 - Dec 31, 2025; farm counts 2025
Rank, as the source prints it
38 of 50
50 jurisdictions
Rank from the good end
38 of 50
1st is best
Median
0.12
across 50 jurisdictions
Middle half
0.04 to 0.21
25th to 75th percentile
Full range
0 to 0.89
lowest to highest
Source: American Farm Bureau Federation Market Intel, 'Farm Bankruptcies Continued to Climb in 2025' (Feb. 2026), state map of U.S. Courts Chapter 12 filings; farm counts from USDA NASS, Farms and Land in Farms 2025 Summary (Feb. 2026). Chapter 12 (family farmer) bankruptcy filings per 1,000 farms, calendar year 2025 https://www.fb.org/market-intel/farm-bankruptcies-continued-to-climb-in-2025
Financially vulnerable Iowa farms
Agriculture · as of 2025-12
The share of mid-size and large Iowa farms in financial trouble has more than doubled in three years.
19%percent of mid- and large-size Iowa farms in the sample
Trend: rising. 7.7% (Dec 2022) to 19% (Dec 2025)
Up from 7.7 percent in December 2022
Read this carefully. The source notes this remains below late-2010s levels.
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Financially vulnerable Iowa farms. percent of mid- and large-size Iowa farms in the sample.
Iowa farm income fell by more than half in two years.
down 53%percent change, 2022 to 2024
Trend: falling. The report projects an increase in 2025 on government payments and livestock returns, then decreases in 2026 and 2027.
Corn production costs are up 37 percent and soybean costs up 36 percent since 2021.
Read this carefully. The source, which is co-published by Iowa Farm Bureau, states plainly that today's conditions do not yet mirror the severity of the 1980s farm crisis. Farmland equity and lender balance sheets remain healthy.
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Iowa net farm income. percent change, 2022 to 2024.
Child care · as of Provider data collected December 2024 through September 2025; child population from 2019-2023 Census estimates
Iowa does well on this one
A smaller share of Iowa children live in a child care desert than nationally.
13thof 51 jurisdictions
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Children in child care deserts. percent of children in a child care desert.
Item
Value
Period or note
Iowa
36
Provider data collected December 2024 through September 2025; child population from 2019-2023 Census estimates
National
46
Provider data collected December 2024 through September 2025; child population from 2019-2023 Census estimates
Rank, as the source prints it
13 of 51
51 jurisdictions
Rank from the good end
13 of 51
1st is best
Median
48.2
across 51 jurisdictions
Middle half
36.45 to 55.2
25th to 75th percentile
Full range
5.4 to 96.5
lowest to highest
Source: Center for American Progress, W.E. Upjohn Institute for Employment Research, and Stanford University, "America's Licensed Child Care Deserts," April 29, 2026, Table 1 (published chart version 4). Percent of children under age 6 living in a licensed child care desert -- a local area with more than three young children for every licensed child care slot (centers, licensed/registered homes, Head Start, and state pre-K; informal family, friend, and neighbor care excluded) https://www.americanprogress.org/article/americas-licensed-child-care-deserts/
Economy · 4 measures
Manufacturing jobs, change over the year
Economy · as of June 2026, seasonally adjusted
Iowa lost 4,300 manufacturing jobs in the year to June 2026, a bigger drop than any other sector.
down 4,300jobs, change from June 2025 to June 2026
Trend: falling. 217,100 in June 2025 to 212,800 in June 2026.
Read this carefully. Of Iowa's eleven supersectors, three grew over this period and manufacturing fell the furthest. Total nonfarm employment fell 9,600, so manufacturing is close to half of the state's job loss. Manufacturing is still Iowa's largest sector by output. This is a payroll figure, not an output figure.
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Manufacturing jobs, change over the year. jobs, change from June 2025 to June 2026.
Item
Value
Period or note
Iowa
down 4,300
June 2026, seasonally adjusted
2025-06
217,100
2026-06
212,800
Source: U.S. Bureau of Labor Statistics, State and Area Employment, Hours and Earnings. Iowa manufacturing employment, seasonally adjusted, June 2025 and June 2026. https://www.bls.gov/sae/
Median household income
Economy · as of 2024 (ACS 1-year)
The typical Iowa household earns about six thousand dollars less than the typical American household.
35thof 51 jurisdictions
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Median household income. dollars per year.
Item
Value
Period or note
Iowa
75,501
2024 (ACS 1-year)
National
81,604
2024 (ACS 1-year)
Rank, as the source prints it
35 of 51
51 jurisdictions
Rank from the good end
35 of 51
1st is best
Median
77,871
across 51 jurisdictions
Middle half
72,370 to 89,812
25th to 75th percentile
Full range
59,127 to 109,707
lowest to highest
Source: U.S. Census Bureau, American Community Survey 2024 one-year estimates. Median household income in the past 12 months, in 2024 inflation-adjusted dollars, per household https://data.census.gov/table/ACSDT1Y2024.B19013
Real GDP change, first quarter 2026
Economy · as of 2026-Q1
Iowa's economy went slightly backwards in the first quarter of 2026 while most states grew.
48thof 50 states
The median of the 50 ranked states grew 1.43 percent. The chart and the table below add the District of Columbia, which moves the median to 1.44.
Read this carefully. One quarter, not a trend. BEA's September 30, 2026 release is an annual update that will revise these back years.
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Real GDP change, first quarter 2026. percent change at an annual rate, 2025:Q4 to 2026:Q1.
Item
Value
Period or note
Iowa
-0.08%
2026-Q1
National
1.44%
2026-Q1
Rank, as the source prints it
48 of 50
50 states, ranked best to worst
Rank from the good end
48 of 50
1st is best
Median
1.44
across 51 jurisdictions
Middle half
0.85 to 2.39
25th to 75th percentile
Full range
-1.65 to 4.51
lowest to highest
Source: U.S. Bureau of Economic Analysis, SQGDP1, real GDP in chained 2017 dollars, percent change 2025:Q4 to 2026:Q1 at an annual rate. Release of June 25, 2026. https://www.bea.gov/data/gdp/gdp-state
Unemployment rate
Economy · as of June 2026, seasonally adjusted
Iowa does well on this one
A smaller share of Iowans are out of work than in most states.
8thof 51 jurisdictions
Read this carefully. Alabama and Wyoming share Iowa's 3.2 percent, so Iowa is tied for 8th of 51. A low unemployment rate also says nothing about what the work pays, which is a separate measure on this page.
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Unemployment rate. percent of the labor force unemployed.
Item
Value
Period or note
Iowa
3.2
June 2026, seasonally adjusted
National
4.2
June 2026, seasonally adjusted
Rank, as the source prints it
8 of 51
51 jurisdictions
Rank from the good end
8 of 51
1st is best
Median
4.1
across 51 jurisdictions
Middle half
3.35 to 4.65
25th to 75th percentile
Full range
2 to 6
lowest to highest
Source: U.S. Bureau of Labor Statistics, Local Area Unemployment Statistics. Unemployment rate by state, June 2026, seasonally adjusted. https://www.bls.gov/lau/
Education · 6 measures
Average teacher salary
Education · as of FY 2024-25
An Iowa teacher earns about nine thousand dollars a year less than the national average.
30thof 51 jurisdictions, 50 states and the District of Columbia
Iowa and the national figure
$9,183 below the national average
Read this carefully. Iowa's STARTING teacher salary is $48,139, ranked 24 of 51, essentially at the national average of $48,112. The gap opens over a career, not on day one.
Education · as of 2026 edition (released Sep 15, 2025) · composite index
Iowa ranks in the bottom fifth of states as a place to teach.
43rdof 51 jurisdictions
This is a composite index. WalletHub combines about two dozen weighted indicators into a single score. It is an index, not a measurement of any one thing.
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Best state to be a teacher. composite index score.
Item
Value
Period or note
Iowa
40.6
2026 edition (released Sep 15, 2025)
Rank, as the source prints it
43 of 51
51 jurisdictions
Rank from the good end
43 of 51
1st is best
Median
45.29
across 51 jurisdictions
Middle half
41.84 to 50.28
25th to 75th percentile
Full range
33.21 to 59.97
lowest to highest
Source: WalletHub, Best & Worst States for Teachers (2026 edition, published Sep 15, 2025). WalletHub 'Total Score' -- proprietary 0-100 weighted composite of 24 teacher-friendliness metrics across two dimensions (Opportunity & Competition, 70 pts; Academic & Work Environment, 30 pts); higher is better, not a physical quantity https://wallethub.com/edu/best-and-worst-states-for-teachers/7159
Overall education index
Education · as of 2026 Data Book; education indicators are ACS 2020-24, NAEP 2024 and the 2023-24 school year, indexed to 2019 · composite index
Iowa sits just above the middle of the pack on the combined education index.
27thof 50 jurisdictions
This is a composite index. The Annie E. Casey KIDS COUNT education domain combines four separate indicators into an index rank.
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Overall education index. composite index value.
Item
Value
Period or note
Iowa
394
2026 Data Book; education indicators are ACS 2020-24, NAEP 2024 and the 2023-24 school year, indexed to 2019
National
417
2026 Data Book; education indicators are ACS 2020-24, NAEP 2024 and the 2023-24 school year, indexed to 2019
Rank, as the source prints it
27 of 50
50 jurisdictions
Rank from the good end
27 of 50
1st is best
Median
403.5
across 50 jurisdictions
Middle half
326.25 to 468.25
25th to 75th percentile
Full range
1 to 731
lowest to highest
Source: Annie E. Casey Foundation, 2026 KIDS COUNT Data Book (37th edition, June 2026), Appendix A. KIDS COUNT Education domain index score, 0-1,000 scale (higher = better child well-being), min-max rescaled against best/worst 2019 state values on four education indicators https://assets.aecf.org/m/resourcedoc/Aecf-2026kidscountdatabook.pdf
K-12 spending per pupil
Education · as of FY 2024 (Census F-33, most recent published)
Iowa spends about three thousand dollars less per student than the national figure.
35thof 50 jurisdictions
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K-12 spending per pupil. dollars per pupil per year.
In 2000 an Iowa teacher earned about three percent less than the national average. Today the gap is more than twelve percent. That is the change.
30thof 51 jurisdictions, 50 states and the District of Columbia
Over time
Only the periods shown were verified. The years between them are not estimated and are not drawn.
Trend: falling. The gap widened from 3.1 percent below the national average in FY 2000, to 10.4 percent below in FY 2011, to 12.3 percent below in FY 2024-25.
Iowa $65,312 against a national average of $74,495 in FY 2024-25. In FY 2011 the Legislative Services Agency put Iowa 25th in the nation.
Read this carefully. Three points across twenty five years, not an annual series. The years between are not shown because they were not verified, and this page does not draw lines through data it does not have. Each point comes from a different publication using NEA data.
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Iowa teacher pay against the national average. percent difference from the national average teacher salary.
Iowa has closed a larger share of its nursing homes than most states.
39thof 49 jurisdictions, the 50 states minus Alaska, which had fewer than 25 nursing homes in the 2015 cohort
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Share of nursing homes closed. percent of nursing homes closed.
Item
Value
Period or note
Iowa
16.4
Closures 2015 through mid-2026
National
10.6
Closures 2015 through mid-2026
Rank, as the source prints it
39 of 49
the 50 states minus Alaska, which had fewer than 25 nursing homes in the 2015 cohort
Rank from the good end
39 of 49
1st is best
Median
10.8
across 49 jurisdictions
Middle half
6.7 to 14.3
25th to 75th percentile
Full range
2.7 to 32.5
lowest to highest
Source: CMS Provider of Services File - Internet Quality Improvement and Evaluation System (iQIES), Q2 2026; 2015 cohort verified against the CMS Provider of Services File - Hospital & Non-Hospital Facilities, December 2015. Percent of a state's Medicare/Medicaid-certified nursing homes that were open at the start of 2015 and have since closed or been terminated (closed cohort: numerator and denominator are both restricted to facilities certified before 2015, so the denominator is cohort members still open plus cohort members terminated 2015-2026; excludes code 07 reclassifications, and excludes facilities first certified after 2014 from both sides) https://data.cms.gov/sites/default/files/2026-07/a014b55b-f9ec-44bc-ab11-830417f2ecc2/POS_iQIES.DATA.Q2_2026%20-%20Copy.csv
Health · 13 measures
Benchmark health plan premium
Health · as of plan year 2026 (rates effective January 2026; published November 2025)
Iowa does well on this one
Iowa's benchmark marketplace premium is lower than in most states.
9thof 51 jurisdictions
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Benchmark health plan premium. dollars per month.
Item
Value
Period or note
Iowa
501
plan year 2026 (rates effective January 2026; published November 2025)
National
625
plan year 2026 (rates effective January 2026; published November 2025)
Rank, as the source prints it
9 of 51
51 jurisdictions
Rank from the good end
9 of 51
1st is best
Median
611
across 51 jurisdictions
Middle half
536.5 to 676.5
25th to 75th percentile
Full range
401 to 1,299
lowest to highest
Source: KFF State Health Facts, Marketplace Average Benchmark Premiums, plan year 2026; Iowa and the 29 other states on the federal marketplace platform independently reproduced here from the federal plan and enrollment files. The remaining 21 state-run marketplaces rest on KFF alone. Monthly benchmark premium (the second-lowest-cost silver plan) for a single 40-year-old non-smoker, before any premium tax credit, in dollars per month; county benchmarks weighted by county plan selections https://www.kff.org/affordable-care-act/state-indicator/marketplace-average-benchmark-premiums/
Cancer incidence rate
Health · as of 2018-2022
Iowans get cancer at a higher rate than almost anywhere in the country, and Iowa's rate is going up while the country's goes down.
51stof 52 jurisdictions, 50 states, the District of Columbia, and Puerto Rico
The source ranks the worst first, where Iowa is 2 of 52.
Iowa and the national figure
Trend: rising. +0.7% per year (95% CI 0.4 to 1.1). The national rate is falling 1.0% per year. Only 3 of 52 jurisdictions are rising: Iowa, West Virginia, Utah.
11.2 percent above the national rate
Read this carefully. Two things a careful reader will ask, answered up front. First, Iowa's rank confidence interval is 2 to 3: Iowa and West Virginia are statistically tied, and Kentucky is first at 519.0. Second, Iowa ranks 2nd on getting cancer but about 23rd on dying of it. A gap that size usually means a state is finding cancers other states miss, so some of Iowa's incidence figure is screening intensity rather than more disease. That does not explain the whole gap, and it does not explain why Iowa's rate is rising while the national rate falls, which is the part nobody has accounted for yet.
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Cancer incidence rate. age-adjusted cases per 100,000 per year.
Item
Value
Period or note
Iowa
498.8 per 100,000
2018-2022
National
448.6 per 100,000
2018-2022
Rank, as the source prints it
2 of 52
50 states, the District of Columbia, and Puerto Rico
Health · as of 2024 dentist counts over 2024 state population (U.S. Census Bureau estimates); both years matched and verified in-script
Iowa has fewer dentists per person than most states.
41stof 51 jurisdictions
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Dentists per capita. dentists per 100,000 people.
Item
Value
Period or note
Iowa
47.85
2024 dentist counts over 2024 state population (U.S. Census Bureau estimates); both years matched and verified in-script
National
59.53
2024 dentist counts over 2024 state population (U.S. Census Bureau estimates); both years matched and verified in-script
Rank, as the source prints it
41 of 51
51 jurisdictions
Rank from the good end
41 of 51
1st is best
Median
53.72
across 51 jurisdictions
Middle half
48.38 to 64.16
25th to 75th percentile
Full range
40.22 to 103.24
lowest to highest
Source: American Dental Association, Health Policy Institute, 'Supply of Dentists in the U.S.: 2001-2024', Table 3 (analysis of the ADA masterfile). Professionally active dentists (licensed, not retired, working in dentistry -- private practice, dental school faculty, armed forces and other federal service, state and local government, hospital staff, residents) per 100,000 state residents https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/hpi/hpidata_supply_of_dentists_2024.xlsx
Iowans living in a county with no ophthalmologist
Health · as of 2023 physician counts, 2023 population
Thirty-nine percent of Iowans live in a county with no eye physician at all. Nationally it is twelve percent.
49thof 51 jurisdictions
Read this carefully. 79 of Iowa's 99 counties have no ophthalmologist practicing in them, which is 1,250,195 people. Only South Dakota and Wyoming have a larger share. A county line is not a wall, and some of these residents drive to a neighboring county rather than across the state. Counties are counted by people rather than by county, because a state with 254 counties and a state with three cannot be compared any other way.
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Iowans living in a county with no ophthalmologist. percent of residents in a county with no ophthalmologist.
Item
Value
Period or note
Iowa
39.0
2023 physician counts, 2023 population
National
12.1
2023 physician counts, 2023 population
Rank, as the source prints it
49 of 51
51 jurisdictions
Rank from the good end
49 of 51
1st is best
Median
15.58
across 51 jurisdictions
Middle half
5.99 to 27.04
25th to 75th percentile
Full range
0 to 51.64
lowest to highest
Source: HRSA Area Health Resources File, 2024-2025 release. Optometrists from the National Provider Identifier file (2024) and non-federal ophthalmologists (2023), against county population, recomputed across all 3,235 counties. https://data.hrsa.gov/DataDownload/AHRF/AHRF_2024-2025_CSV.zip
Cancer among Iowa farmers in the Agricultural Health Study
Health · as of 1994-2015
Iowa farmers, who are the most exposed to farm chemicals, got 13 percent fewer cancers than Iowans generally. Whatever is driving Iowa's cancer rate, the simple story does not hold up.
13% fewer cancers than expectedversus the Iowa general population
Spouses had 10 percent fewer cancers than expected. Farmers had MORE cases than expected of prostate and lip cancer.
Read this carefully. Quoted from the Iowa Cancer Registry: Iowa farmers in the AHS had 13% fewer cancers overall than expected compared to the general population in Iowa from 1994-2015.
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Cancer among Iowa farmers in the Agricultural Health Study. versus the Iowa general population.
Iowa lost hospital-based obstetric care in a larger share of its counties than any other state.
50thof 50 jurisdictions
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Counties that lost hospital-based obstetric care. percent of counties that had hospital-based obstetric care in 2010.
Item
Value
Period or note
Iowa
30.8
2010 to 2024
National
16.8
2010 to 2024
Rank, as the source prints it
50 of 50
50 jurisdictions
Rank from the good end
50 of 50
1st is best
Median
13.7
across 50 jurisdictions
Middle half
6.9 to 21.05
25th to 75th percentile
Full range
0 to 30.8
lowest to highest
Source: University of Minnesota Rural Health Research Center, 2010-2024 County-Level Hospital-Based Obstetric Care Status (AHA Annual Survey + CMS Provider of Services file). Percent of counties that had hospital-based obstetric care in 2010 and had lost it by 2024 https://rhrc.umn.edu/wp-content/uploads/2026/05/county_OBstat_2010_2024.xlsx
OB-GYNs per 100,000 women of reproductive age
Health · as of Physician counts 2023; population denominator 2023
Iowa has the second fewest OB-GYNs per woman of reproductive age in the country.
50thof 51 jurisdictions
Read this carefully. Iowa was last on the 2021-22 data KFF analyzed. On current 2023 physician counts Iowa is 50th of 51 and Idaho is last, so this page says second fewest rather than last.
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OB-GYNs per 100,000 women of reproductive age. OB-GYNs per 100,000 women aged 15 to 64.
Item
Value
Period or note
Iowa
27.28
Physician counts 2023; population denominator 2023
National
39.14
Physician counts 2023; population denominator 2023
Rank, as the source prints it
50 of 51
51 jurisdictions
Rank from the good end
50 of 51
1st is best
Median
37.37
across 51 jurisdictions
Middle half
33.91 to 43.53
25th to 75th percentile
Full range
25.54 to 66
lowest to highest
Source: HRSA Area Health Resources File (AHRF) 2024-2025 county release; OB-GYN counts from the AMA Physician Masterfile, denominator from Census state population estimates (SC-EST vintage 2024) for the same year. Practicing OB-GYNs (non-federal MDs and DOs in patient care, excluding hospital residents) per 100,000 women ages 15-64 https://data.hrsa.gov/DataDownload/AHRF/AHRF_2024-2025_CSV.zip
Ophthalmologists per capita
Health · as of 2023
Iowa has fewer eye physicians per person than most states. They are the ones who treat disease and operate.
37thof 51 jurisdictions
Read this carefully. An ophthalmologist is a physician who treats eye disease and performs surgery. This is not interchangeable with the optometrist count on this page, and the two are never added together here. Iowa is above the national rate on optometrists and below it on ophthalmologists, which is the ordinary rural pattern and is the whole point.
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Ophthalmologists per capita. non-federal ophthalmologists per 100,000 people.
Item
Value
Period or note
Iowa
4.43
2023
National
5.75
2023
Rank, as the source prints it
37 of 51
51 jurisdictions
Rank from the good end
37 of 51
1st is best
Median
5.27
across 51 jurisdictions
Middle half
4.37 to 5.9
25th to 75th percentile
Full range
1.2 to 15.46
lowest to highest
Source: HRSA Area Health Resources File, 2024-2025 release. Optometrists from the National Provider Identifier file (2024) and non-federal ophthalmologists (2023), against county population, recomputed across all 3,235 counties. https://data.hrsa.gov/DataDownload/AHRF/AHRF_2024-2025_CSV.zip
Optometrists per capita
Health · as of 2024
Iowa has more optometrists per person than most states. They handle exams and glasses.
19thof 51 jurisdictions
Read this carefully. An optometrist examines eyes and prescribes glasses and contacts. Iowa is above the national rate here and below it on ophthalmologists, and the two are counted separately on purpose: they do different work, so one does not offset the other. 19th of 51 is a solid result rather than a standout, which is why it does not carry the does-well badge.
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Optometrists per capita. optometrists per 100,000 people.
Item
Value
Period or note
Iowa
20.74
2024
National
18.33
2024
Rank, as the source prints it
19 of 51
51 jurisdictions
Rank from the good end
19 of 51
1st is best
Median
19.21
across 51 jurisdictions
Middle half
16.29 to 21.38
25th to 75th percentile
Full range
11.65 to 30.1
lowest to highest
Source: HRSA Area Health Resources File, 2024-2025 release. Optometrists from the National Provider Identifier file (2024) and non-federal ophthalmologists (2023), against county population, recomputed across all 3,235 counties. https://data.hrsa.gov/DataDownload/AHRF/AHRF_2024-2025_CSV.zip
Overall state health ranking
Health · as of 2025 edition (36th), published January 2026 · composite index
On a broad measure of overall health, Iowa is ahead of two thirds of the country.
17thof 50 states
This is a composite index. America's Health Rankings combines 99 separate measures into one weighted score. It is an index, not a measurement of any single thing, and a strong overall placing can sit on top of very weak individual measures.
Read this carefully. This is an average, and an average hides the distribution. On the specific access measures on this page Iowa is 50th and 51st: counties that lost hospital-based obstetric care, OB-GYNs per capita, and state psychiatric beds.
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Overall state health ranking. composite index rank among the 50 states.
Health · as of Pharmacy locations April 2022; published March 2024
Iowa does well on this one
Iowa has better pharmacy access than most states.
13thof 51 jurisdictions
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Pharmacy access. percent of residents without nearby pharmacy access.
Item
Value
Period or note
Iowa
3.35
Pharmacy locations April 2022; published March 2024
National
4.77
Pharmacy locations April 2022; published March 2024
Rank, as the source prints it
13 of 51
51 jurisdictions
Rank from the good end
13 of 51
1st is best
Median
4.62
across 51 jurisdictions
Middle half
3.39 to 6.19
25th to 75th percentile
Full range
0.86 to 15.47
lowest to highest
Source: Wittenauer R, Shah PD, Bacci JL, Stergachis A. Locations and characteristics of pharmacy deserts in the United States: a geospatial study. Health Affairs Scholar 2024;2(4):qxae035 (Oxford University Press), Supplement Table A2-1. Percent of a state's total resident population living in a pharmacy desert census tract, where a pharmacy desert is a tract that is BOTH low income (20%+ below the federal poverty level, or median household income under 80% of the nearest metro area) AND low access (33%+ of residents beyond 1 mile of a pharmacy if urban, 5 miles if suburban, 10 miles if rural, 0.5 miles if fewer than 100 residents own a car). Denominator is the state's own total population. https://academic.oup.com/healthaffairsscholar/article/2/4/qxae035/7630415
Projected primary care supply
Health · as of 2030 projection, from the December 2025 release
Iowa is projected to meet a smaller share of its primary care need than most states.
39thof 51 jurisdictions
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Projected primary care supply. percent of projected primary care demand met.
Item
Value
Period or note
Iowa
72.2
2030 projection, from the December 2025 release
National
86.7
2030 projection, from the December 2025 release
Rank, as the source prints it
39 of 51
51 jurisdictions
Rank from the good end
39 of 51
1st is best
Median
84.4
across 51 jurisdictions
Middle half
72.3 to 94.4
25th to 75th percentile
Full range
59.7 to 286.4
lowest to highest
Source: U.S. Health Resources and Services Administration, National Center for Health Workforce Analysis, Health Workforce Projections (Health Workforce Simulation Model), December 2025 release covering 2023-2038; full-data spreadsheet behind the Workforce Projections Dashboard. Projected physician supply as a percent of projected physician demand in 2030 (percent adequacy = FTE supply / FTE demand x 100). Below 100% = projected shortage. Covers all physician specialties including psychiatry, as the state-level rows of the HRSA file are constructed https://data.hrsa.gov/DataDownload/StaticDocuments/Workforce_Projections_FullData.xlsx
Physicians per capita
Health · as of 2024 (AMA Physician Professional Data; U.S. Census Bureau population estimates)
Iowa has fewer doctors per person than all but a handful of states.
43rdof 51 jurisdictions
Show the data as a table
Physicians per capita. active physicians per 100,000 people.
Item
Value
Period or note
Iowa
238.66
2024 (AMA Physician Professional Data; U.S. Census Bureau population estimates)
National
303.54
2024 (AMA Physician Professional Data; U.S. Census Bureau population estimates)
Iowa has more bridges rated structurally deficient than any other state.
50thof 50 states
The source ranks the worst first, where Iowa is 1 of 50.
Read this carefully. Every figure here is from ARTBA's Iowa profile, built on the federal National Bridge Inventory as downloaded on June 24, 2025: 4,423 of Iowa's 23,716 bridges, 18.6 percent, are rated structurally deficient, down from 4,504 in 2021. ARTBA ranks West Virginia second; its profile puts that share at 17.8 percent, 1,307 of 7,345 bridges. Structurally deficient does not mean unsafe or closed. It does mean these bridges are small: they hold 1.3 percent of Iowa's total bridge deck area, and 96 percent of them are on rural local and collector roads.
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Structurally deficient bridges. percent of bridges rated structurally deficient.
Mental health · as of Providers 2025; population July 2024
Iowa has far fewer mental health providers per person than the country as a whole.
43rdof 50 jurisdictions, the 50 states and the District of Columbia minus Connecticut, which the source did not update
Show the data as a table
Mental health providers per capita. mental health providers per 100,000 people.
Item
Value
Period or note
Iowa
225.9
Providers 2025; population July 2024
National
348.3
Providers 2025; population July 2024
Rank, as the source prints it
43 of 50
the 50 states and the District of Columbia minus Connecticut, which the source did not update
Rank from the good end
43 of 50
1st is best
Median
350.8
across 50 jurisdictions
Middle half
262.27 to 432.28
25th to 75th percentile
Full range
156.4 to 801.9
lowest to highest
Source: County Health Rankings & Roadmaps (University of Wisconsin Population Health Institute), Supplemental Data Release, 25 March 2026 -- measure v062, Mental Health Providers, built from the CMS National Provider Identifier downloadable file. Mental health providers per 100,000 residents (higher is better). Providers are all NPI-registered psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, providers treating alcohol and other drug abuse, and advanced practice nurses specialising in mental health care. Denominator is total resident population. https://www.countyhealthrankings.org/sites/default/files/media/document/analytic_supplement_20260325%5B1%5D.csv
State psychiatric beds per capita
Mental health · as of 2023 (TAC survey of state officials, April-August 2023)
Iowa has fewer state psychiatric beds per person than any other state.
51stof 51 jurisdictions
Show the data as a table
State psychiatric beds per capita. state psychiatric beds per 100,000 people.
Item
Value
Period or note
Iowa
2
2023 (TAC survey of state officials, April-August 2023)
National
10.8
2023 (TAC survey of state officials, April-August 2023)
Rank, as the source prints it
51 of 51
51 jurisdictions
Rank from the good end
51 of 51
1st is best
Median
9.9
across 51 jurisdictions
Middle half
7.7 to 13.75
25th to 75th percentile
Full range
2 to 35.7
lowest to highest
Source: Treatment Advocacy Center, Prevention Over Punishment: Finding the Right Balance of Civil and Forensic State Psychiatric Hospital Beds (January 2024), Tables 2 and 8. Staffed ('online') adult state psychiatric hospital beds per 100,000 residents; excludes pediatric, geriatric, sex-offender, corrections-run, contracted and non-hospital-level beds https://www.tac.org/wp-content/uploads/2024/01/Prevention-Over-Punishment-Full-Report.pdf
Population · 2 measures
Graduates produced versus graduates kept
Population · as of Graduates 2010-2018; published September 2022
Iowa's colleges produce far more graduates than Iowa keeps.
42ndof 51 jurisdictions
Read this carefully. This is a net stock comparison, not a retention rate. A retention rate cannot exceed 100 percent; this measure runs from -57.5 to +302.7. Illinois scores 5th best on it while losing its own students, because Chicago imports graduates. Data is frozen at a 2022 LinkedIn snapshot.
Show the data as a table
Graduates produced versus graduates kept. percent difference between graduates produced and graduates living in state.
Item
Value
Period or note
Iowa
-34.2
Graduates 2010-2018; published September 2022
Rank, as the source prints it
42 of 51
51 jurisdictions
Rank from the good end
42 of 51
1st is best
Median
-20.5
across 51 jurisdictions
Middle half
-30.2 to -3.85
25th to 75th percentile
Full range
-57.5 to 302.7
lowest to highest
Source: The Washington Post, Department of Data, "States with the worst brain drain -- and more!" (Sept. 9, 2022), analyzing NBER Working Paper 30088, "Grads on the Go" (Conzelmann et al., May 2022). Percentage difference between college graduates produced in a state (alumni of colleges located there) and college graduates living there; percent, negative = net exporter https://datawrapper.dwcdn.net/UzMfz/3/dataset.csv
Working-age population, ages 18 to 64
Population · as of Vintage 2025 estimates; July 1 2020 to July 1 2025
Iowa's working-age population shrank slightly, 0.21 percent, while the country's grew 1.57 percent.
34thof 51 jurisdictions
Read this carefully. This counts residents aged 18 to 64, not everyone. Over the same five years Iowa's total population grew 1.48 percent, from 3,191,081 to 3,238,387, and the country's grew 3.08 percent (Census Bureau Vintage 2025 state totals, file NST-EST2025-ALLDATA). So this card says Iowa's working-age share is slipping, not that Iowa is losing people.
Show the data as a table
Working-age population, ages 18 to 64. percent change in population aged 18 to 64.
Item
Value
Period or note
Iowa
-0.21
Vintage 2025 estimates; July 1 2020 to July 1 2025
National
1.57
Vintage 2025 estimates; July 1 2020 to July 1 2025
Read this carefully. This is a twenty-state tie at the federal floor, so the rank is a tie for 32nd rather than a precise position. The median state is at $11.85.
Show the data as a table
State minimum wage. dollars per hour.
Item
Value
Period or note
Iowa
7.25
In effect July 1, 2026
National
7.25
In effect July 1, 2026
Rank, as the source prints it
32 of 51
51 jurisdictions
Rank from the good end
32 of 51
1st is best
Median
11.85
across 51 jurisdictions
Middle half
7.25 to 15
25th to 75th percentile
Full range
7.25 to 18.4
lowest to highest
Source: U.S. Department of Labor, Wage and Hour Division, Consolidated State Minimum Wage Update Table (effective July 1, 2026). Minimum wage in force for FLSA-covered workers, dollars per hour, standard statewide rate (states with no minimum wage law or a rate below the federal floor are shown at the federal $7.25) https://www.dol.gov/agencies/whd/mw-consolidated
Wage growth per resident
Wages · as of 2015-2025
Iowa paychecks have grown more slowly than the country's for a decade. This is the measure that does not change answer depending on which year you start from.
43rdof 50 states
Iowa and the national figure
The national rate was 4.53 percent a year over the same decade.
Read this carefully. This replaces personal income growth, which is on this page's held-back list. That measure puts Iowa 48th on a 2022 base but 24th to 32nd on other bases, so it tells you more about the start year than about Iowa. Wages per resident holds at 43rd to 50th in every window tested, which is why it is the one shown.
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Wage growth per resident. wages and salaries per resident, compound annual growth 2015 to 2025.
Water and environment · as of Most recent complete reporting cycle per state, 2022-2026
Nearly three quarters of Iowa's assessed river miles are too polluted for their intended use.
30thof 51 jurisdictions
Read this carefully. This is the comparable measure. Raw counts of impaired segments cannot be ranked across states, because states define a segment differently: Pennsylvania files 217,000 assessment units and Delaware 1,060.
Show the data as a table
Share of assessed river miles impaired. percent of assessed river miles impaired.
Item
Value
Period or note
Iowa
72.58
Most recent complete reporting cycle per state, 2022-2026
National
60.42
Most recent complete reporting cycle per state, 2022-2026
Rank, as the source prints it
30 of 51
51 jurisdictions
Rank from the good end
30 of 51
1st is best
Median
69.54
across 51 jurisdictions
Middle half
41.71 to 82.18
25th to 75th percentile
Full range
3.99 to 100
lowest to highest
Source: U.S. EPA ATTAINS, Clean Water Act section 305(b)/303(d) assessments, retrieved via EPA Expert Query; each state's most recent complete Integrated Report cycle. Percent of assessed river and stream miles rated impaired (overall status Not Supporting) -- impaired miles divided by assessed miles, rivers and streams only https://owapps.epa.gov/expertquery/attains
Impaired water segments
Water and environment · as of 2026
More than seven hundred stretches of Iowa rivers, lakes and wetlands are too polluted to fully serve their intended uses.
723impaired water segments (574 category 5 plus 149 category 4)
About 51 percent of assessed river segments were designated impaired.
Read this carefully. This is a count from a DRAFT report, not a national rank. States assess differently, so cross-state comparison of these counts is not valid.
Show the data as a table
Impaired water segments. impaired water segments (574 category 5 plus 149 category 4).
These 15 measures are in the database and not on the
page, because they did not meet the standard the page holds itself to.
Publishing the list is part of that standard. If one of them later
clears, it goes up with the rest.
Broadband access(Broadband, disputed) The available sources contradict each other. One puts Iowa first in the country for basic broadband access, another puts Iowa 45th for connectivity, and federal coverage maps are known to overstate what is actually available at a given address. Left off until there is one measure worth defending.
Manufacturing share of Iowa's economy(Economy, unverified) A figure of about $35 billion came up in a comment thread, and it belongs next to the manufacturing jobs number, because strong output alongside a shrinking payroll is the honest version of that story. The industry detail has not been pulled from the federal source yet, and a headline dollar figure does not go up second-hand.
Personal income growth(Economy, unverified) The rank changes depending on which year you start counting from. Iowa is 48th of 50 measured from 2022, but somewhere between 24th and 32nd measured from 2019, 2020 or 2021, and wages alone behave differently again. Those starting points are all equally fair, so publishing the worst one would be a choice rather than a finding.
Real GDP change, first quarter 2025(Economy, unverified) Out of date. This covered the first quarter of 2025. A newer quarter has since been published and is on the page in its place. The figure itself was correct.
Philadelphia Fed State Coincident Index(Economy, unverified) The claim that Iowa ranks 50th traces only to party and campaign press releases. It could not be confirmed at the Philadelphia Fed, which publishes the index. Left off until it is confirmed there.
State surplus and reserve balances(Economy, unverified) Figures of roughly $6.7 billion falling to $3.5 billion, a $1.2 billion shortfall, and reserves running out by 2030 came up in a comment thread. All of them trace to news coverage rather than to the state's own budget documents. The $1.2 billion is also reported as a projected gap for 2027, which is a different claim from a deficit being run today. Held until the state's own numbers are in hand. This is the most important gap on this list.
State health system performance ranking(Health, unverified) Raised in a comment thread as Iowa 18th, and it may well be right. It could not be traced to the Commonwealth Fund's own scorecard, and a rank nobody here has read at the source does not go up. The health ranking already on this page, 17th of 50, is the verified one, and the two are close enough that a second unchecked index would add confidence without adding evidence.
Counties with a designated dental care shortage area(Health, unverified) The stored number is the share of a state's counties containing a designated shortage area, not the percent of need met the card claimed; which end is good is not settled; held until a need-met measure with a published state table is found
Counties with a designated primary care shortage area(Health, unverified) The stored number is the share of a state's counties containing a designated shortage area, not the percent of need met the card claimed; which end is good is not settled; held until a need-met measure with a published state table is found
State public health funding per capita(Health, unverified) All that could be confirmed is that Iowa dropped a performance tier and was one of 12 states that cut public health funding. No dollar figure and no rank.
Infrastructure report card grades(Infrastructure, unverified) Verified, but held off the page because a letter grade is a panel's judgment rather than a measurement, and it cannot be ranked against other states the way everything else here is. Worth stating anyway: engineers grade Iowa's bridges a D, and rank Iowa worst in the country by the number of poor bridges but seventh worst by their share of deck area, which is separate confirmation that those bridges are small ones.
Federal infrastructure money coming to Iowa(Infrastructure, unverified) A figure of $5.7 billion across 733 projects came up in a comment thread. A separate source reports $373.6 million available and $150.2 million committed to 197 bridge projects as of June 2025. Those count different things, and setting them side by side without saying which is which would mislead. Held until the larger figure has a named source and a stated scope.
Mental health workforce(Mental health, unverified) The reported ranks, 47th for psychiatrists, 44th for workforce and 51st for psychiatric beds, come from news coverage, and none of them say what pool Iowa is being ranked against. A rank without that is not a fact.
Net out-migration of young college graduates(Population, unverified) The figures came up in news coverage of a report that could not be located and read. Nothing goes up until the original is in hand.
Veteran suicide rate(Veterans, disputed) The circulating claim that Iowa's veteran suicide rate is four times the national average traces to a speech on the floor of Congress rather than to the VA's own report, and it does not hold up on its face. Held pending the VA's state-by-state table.
How to read this page
Every rank is counted from the good end, so 1st always means best. Where
a source prints its table the other way round, the card says so and
quotes the source's own number beside it.
The pools differ. Some measures rank the 50 states, some add the
District of Columbia, and one adds Puerto Rico. Each card names its pool
next to the rank, and the count is never reworded as "states" when the
source's table holds something that is not a state.
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Corrections are welcome and are made in public. The about page says how to report one.
Generated 2026-09-07 from the pipeline's own data file, with nothing on
this page typed in by hand.