Connecticut’s health system performs better than all but four other states, according to the latest Commonwealth Fund State Scorecard. We are first in Healthy lives, up from sixth last year. Surprisingly, we also do very well on Access & Affordability (sixth) – it must be the access part. But we have a lot of work to do. We are 40th among states in the rate of drug poisoning deaths; from 2013 to 2017 our rate grew by 93%. We are 28th and 36th among states in avoidable ER visits for adults 18 to 64 years and over age 65, respectively. We are 38th in hospital patient experience of care, 44th for home health patients without improved mobility, 30th in childhood asthma hospital admissions, 34th in Medicare readmissions, and 39th in employer-sponsored insurance spending per person (not a surprise). Disparities in care based on income in Connecticut is embarrassing and getting worse. We rank 22nd among states this year, down from 14th last year. Also not surprising in Connecticut, we rank 29th in high out-of-pocket costs relative to income, and 38th in income disparities in obesity rates. We should look to our neighbors for solutions – Massachusetts ranked second overall and Rhode Island improved more than any other state.