A recently released study found that Northeast Texas residents experience more health challenges and higher mortality rates compared to Texas overall and to the U.S. Additionally, in Northeast Texas, nearly one-quarter of 19- to 64-year-olds are uninsured, a proportion nearly double that of the U.S. Compared to Texas overall, Northeast Texas has fewer primary care and mental health providers per capita. This reporter digs into the factors that are responsible for the relative unhealthiness of our population.