If residents within a geographic area, facility, or population group have poor access to basic medical care because an insufficient number of primary care physicians serve the area relative to its population, that setting can be designated a primary care HPSA (health professional shortage area) by the Health Resources and Services Administration (HRSA).  As of March 31, 2025, more than 77.2 million Americans lived in the HRSA-designated primary care shortfall areas.    That number included about 11.4 million residents of the five-state Great Lakes region who were living in HRSA-designated primary care shortfall areas at that time.  According to HRSA estimates, another 1,847 primary care providers would need to be serving Great Lakes region HPSAs in order to eliminate the primary care shortfall in the region.  A further review of HRSA data details the following about the primary care shortfall in the Great Lakes region:

The Primary Care Shortfall in the Great Lakes Region

State	(1) HPSAs	(2) Population	(3) Shortfall
IL	261	3,081,967	527
IN	153	2,230,213	336
MI	253	2,698,029	490
OH	174	2,011,262	342
WI	165	1,332,145	152
Region	1,006	11,353,616	1,847
U.S.	7,749	77,253,848	13,364

(1) HRSA-designated Geographic Units, Population Groups, and Facilities with a primary care shortfall

(2) Population of designated HPSAs

(3) Primary Care practitioners needed to remove the HPSA Designation

Source:  Designated HPSA Quarterly Summary, 3/31/25 (HRSA)

March 31, 2025 data from the HRSA (Health Resources and Services Administration) estimated that nearly 59.7 million Americans lived in a dental health HPSA (health professional shortage area).  A dental health HPSA is a geographic area, population group, or facility where residents have bad dental care access because not enough dentists serve the area relative to the population of that HPSA.  The six-state New England region was home to almost 1.1 million individuals who resided in dental care shortfall areas.  The HRSA estimates that New England HPSAs would need 158 more dentists in order to eliminate the dental care shortfall in the region.  Further examination of the HRSA's 3/31/25 data provides the following state-level details about the dental care shortfall New England:

The Dental Care Shortfall in New England

State	(1) HPSAs	(2) Population	(3) Shortfall
CT	40	480,128	71
ME	82	234,694	39
MA	55	185,325	18
NH	19	27,417	7
RI	13	140,340	23
VT	13	6,473	0
Region	222	1,074,377	158
U.S.	7,054	59,718,174	10,143

(1) HRSA-designated Geographic Units, Population Groups, and Facilities with a dental care shortfall

(2) Population of designated HPSAs

(3) Dental Care practitioners needed to remove HPSA Designation

Source:  Designated HPSA Quarterly Summary, 3/31/25 (HRSA)