Most uninsured people, South Dakota cities

South Dakota cities with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 19 cities in South Dakota that qualify, ranked against each other statewide. The median across all 19 is 1,075. Biggest climber in the top 100 since 2020: Vermillion, SD, up 6 places to #9.