Michiganders today are experiencing poorer physical and mental health and higher rates of chronic conditions and disability than the national average, and these gaps have grown in recent years. There are also significant disparities in health outcomes and healthcare access by race and ethnicity, socioeconomic status, and geography. American’s Health Rankings’ compositive measure of health outcomes: Michigan ranked 32^nd out of 50 states in 2008 and 39^th in 2022.

Beneath overall health outcomes are persistent disparities in health by race and ethnicity, socioeconomic status, and geography. Black infant mortality rates in Michigan are 2.7 times White rates, and life expectancy by neighborhood varies by as much as 29 years.

Michigan’s public health system is less well funded than other states and has experienced a loss in experienced workforce coming out of the pandemic. Michigan consistently ranks in the bottom 10 states for per capita public health spending, ranking 40^th.