When it comes to de facto healthcare availability, especially reproductive healthcare, most red states would compare unfavourably to the majority of African countries.

That's what happens when you have a system based on profits over access for everyone, add an insurance industry whose main focus is to make sure that as little medical treatment as possible occurs and THEN add corrupt politicians whose owner donors think that even THAT is too generous towards the poors and also an invisible section of the bible says that forcing women to give birth to unwanted children while decreasing the number of places to do so safely is holiness itself.