Health in South Carolina

Life expectancy, healthcare access, hospitals and insurance.

Age-adjusted death rate, all causes
828
2017 · CDC National Center for Health Statistics
Residents without health insurance
9.0%
2024 · Census American Community Survey 1-year estimates
Hospital jobs
48,217
2025 · BLS Current Employment Statistics
Adults with any health care coverage
85.9%
2020 · CDC BRFSS
Adults with obesity
36.5%
2025 · CDC BRFSS via Chronic Disease Indicators
Adults who currently smoke
11.2%
2025 · CDC Behavioral Risk Factor Surveillance System

Life Expectancy

Life expectancy in South Carolina was about 75.9 years as of 2021, below the national average.

Age-adjusted death rate, all causes
828
2017 · CDC National Center for Health Statistics
Total deaths, all causes
49,441
2017 · CDC National Center for Health Statistics
Life Expectancy at Birth
75.9 years
2021 CDC

Age-adjusted death rate, all causes

1999–2017
828▼ 15%

CDC National Center for Health Statistics, leading causes of death (1999–2017), all causes, age-adjusted.

Total deaths, all causes

1999–2017
49,441▲ 37%

CDC National Center for Health Statistics, leading causes of death (1999–2017).

IndicatorSouth CarolinaU.S.
Life Expectancy (years)75.976.4
  • •South Carolina's life expectancy varies by more than a decade between its healthiest and least healthy counties.

Healthcare Access

About 9.9% of South Carolinians lacked health insurance in 2023, and many rural counties face primary care shortages.

Residents without health insurance
9.0%
2024 · Census American Community Survey 1-year estimates
Uninsured Rate
9.9%
2023
Primary Care Shortage Areas
~40 counties
2023

Residents without health insurance

2009–2024
9%

Census American Community Survey 1-year estimates, civilian noninstitutionalized population, B27010 (2020 not released).

IndicatorSouth CarolinaU.S.
Uninsured Rate9.97.9
  • •South Carolina has not expanded Medicaid under the Affordable Care Act, contributing to its higher-than-average uninsured rate.

Hospitals

South Carolina has about 75 hospitals, led by Prisma Health and MUSC Health.

Hospital jobs
48,217
2025 · BLS Current Employment Statistics
Health care jobs (ambulatory, hospitals and nursing)
262,408
2025 · BLS Current Employment Statistics
Hospitals
75
Hospital beds
2.6 per 1,000
Largest systems
Prisma Health, MUSC Health

Hospital jobs

2001–2025
48,217▲ 54%

BLS Current Employment Statistics, NAICS 622, annual average (FRED SMU45000006562200001).

Health care jobs (ambulatory, hospitals and nursing)

1990–2025
262,408▲ 245%

BLS Current Employment Statistics, NAICS 621–623, annual average (FRED SMU45000006562000001).

Insurance Coverage

About 90.1% of South Carolinians had health insurance coverage in 2023.

Adults with any health care coverage
85.9%
2020 · CDC BRFSS
Insured Rate
90.1%
2023
Uninsured Rate
9.9%
2023

Adults with any health care coverage

2011–2020
85.9%

CDC BRFSS, adults 18+ (question discontinued after 2020).

IndicatorSouth CarolinaU.S.
Insured Rate90.192.1
  • •South Carolina's ACA marketplace enrollment has grown substantially in recent years as subsidies expanded.

Obesity

Roughly 35.8% of South Carolina adults were classified as obese in 2022, above the national average.

Adults with obesity
36.5%
2025 · CDC BRFSS via Chronic Disease Indicators
Adult Obesity Rate
35.8%
2022 BRFSS

Adults with obesity

2011–2025
36.5%

CDC BRFSS via Chronic Disease Indicators, adults 18+.

IndicatorSouth CarolinaU.S.
Adult Obesity Rate35.832.6
  • •South Carolina's DHEC runs statewide childhood obesity prevention programs targeting school nutrition and physical activity.

Public Health Indicators

South Carolina's public health indicators, including a 17.1% adult smoking rate and 13% diabetes prevalence, generally trail national benchmarks.

Adults who currently smoke
11.2%
2025 · CDC Behavioral Risk Factor Surveillance System
Adult Smoking Rate
17.1%
2022
Diabetes Prevalence
13.0%
2022

Adults who currently smoke

2011–2025
11.2%

CDC Behavioral Risk Factor Surveillance System, adults 18+.

IndicatorSouth CarolinaU.S.
Adult Smoking Rate17.111.6
  • •South Carolina merged its health and environmental agencies in 2024 into the new Department of Public Health.