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RANKING · 2020 CENSUS · 66 SHOWN OF 66

Most uninsured people, South Dakota counties · 2020

South Dakota counties with the most residents lacking health insurance, as of the 2020 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 66 counties in South Dakota that qualify, ranked against each other statewide.

South DakotaAll statesAll rankings
SAME RANKING BYCitiesStatesMetros
RELATEDLargest foreign-born populationMost residents with a disabilityLargest veteran populationLargest senior populationMost unmarried peopleMost unmarried men
YEAR20202024
Most uninsured people by state
RANKPLACESTATEPOPUNINSURED RESIDENTSVS –
01Minnehaha County, SDSD212,69114,631
02Pennington County, SDSD116,79212,228
03Oglala Lakota County, SDSD13,3385,376
04Meade County, SDSD30,7113,135
05Todd County, SDSD8,8632,972
06Brown County, SDSD37,5612,739
07Lincoln County, SDSD77,1452,734
08Lawrence County, SDSD29,4592,507
09Roberts County, SDSD10,2552,113
10Codington County, SDSD29,5621,995
11Brookings County, SDSD37,6351,931
12Yankton County, SDSD23,6351,832
13Charles Mix County, SDSD9,3031,744
14Beadle County, SDSD19,6241,675
15Dewey County, SDSD5,4191,496
16Davison County, SDSD20,0691,476
17Butte County, SDSD10,8561,445
18Hughes County, SDSD17,5701,041
19Clay County, SDSD15,031995
20Corson County, SDSD3,781990
21Union County, SDSD17,402960
22Jackson County, SDSD2,666875
23Bennett County, SDSD3,307810
24Buffalo County, SDSD1,802810
25Ziebach County, SDSD2,389794
26Fall River County, SDSD7,467752
27Mellette County, SDSD2,137750
28Custer County, SDSD9,431635
29Lyman County, SDSD3,694632
30Lake County, SDSD10,993631
31Grant County, SDSD7,534601
32Day County, SDSD5,484513
33Hamlin County, SDSD6,900498
34Turner County, SDSD9,314485
35Moody County, SDSD6,632481
36McCook County, SDSD5,964467
37Walworth County, SDSD5,217457
38Tripp County, SDSD5,708446
39Douglas County, SDSD2,888440
40Gregory County, SDSD4,037398
41Spink County, SDSD6,155355
42Marshall County, SDSD4,426352
43Hutchinson County, SDSD7,413347
44Brule County, SDSD5,278335
45Bon Homme County, SDSD7,244329
46Deuel County, SDSD4,408324
47Perkins County, SDSD2,853271
48Kingsbury County, SDSD5,284260
49Aurora County, SDSD2,801226
50Edmunds County, SDSD4,022218
51Clark County, SDSD4,031208
52Sanborn County, SDSD2,388183
53Haakon County, SDSD1,802172
54McPherson County, SDSD2,347162
55Hanson County, SDSD3,456153
56Potter County, SDSD2,377143
57Faulk County, SDSD2,178136
58Stanley County, SDSD3,018126
59Miner County, SDSD2,281126
60Jerauld County, SDSD1,654103
61Jones County, SDSD91396
62Hand County, SDSD3,12194
63Harding County, SDSD1,33180
64Hyde County, SDSD1,19159
65Sully County, SDSD1,47937
66Campbell County, SDSD1,37722
SHOWING 1–66 OF 66
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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS