A new study from Wallet Hub shows Alabama residents are feeling the pressure when it comes to health care costs.

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The study has Alabama ranked No. 23 in the country for the share of household income spent on health care, with residents spending around 7.32% of their median monthly household income on medical expenses.

The study looked at the cost of doctor visits, dentist visits, optometrist appointments, ibuprofen and insulin across all 50 states and compared those costs to median household income.

While Alabama didn’t land near the very top of the list, the numbers still highlight how expensive health care can be for families already dealing with inflation, rising grocery prices and higher everyday living costs.

WalletHub analyst Chip Lupo said sharp increases in health care costs have made it harder for some Americans to seek essential care, especially as inflation continues impacting nearly every part of household budgets.

States with the highest health care burden included Alaska, Oregon and Maine, while Utah ranked as the most affordable state in the study.

The report also encouraged Americans to take advantage of preventative care, build emergency savings for medical expenses and consider options like telehealth and health savings accounts to help reduce long term costs.

For many Alabama families, the report is another reminder that even routine medical visits and prescriptions can quickly add up.

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