The Price of Health: Analyzing Food Costs Across America

Vivid Maps
3 min readOct 12, 2024

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Food is at the heart of American culture, but maintaining a nutritious diet is becoming increasingly challenging for many due to the rising costs of healthier food options. This gap between the prices of healthy and unhealthy foods isn’t just a personal finance issue — it’s a public health concern with far-reaching consequences. To get a clearer picture of this problem, the PlushCare team conducted an in-depth analysis of food prices across the United States.

The Post-War Food Revolution: Unintended Consequences

After World War II, farming practices underwent a major transformation. According to a recent Food Foundation report, these changes were aimed at producing and selling “the most calories at the lowest cost.” While this approach met immediate post-war needs, it’s led to new problems. Today, we’re facing an abundance of cheap, processed foods that contribute to health issues and environmental damage.

The True Cost of Cheap Calories

At first glance, choosing less expensive, less nutritious foods might seem like a smart move for budget-conscious shoppers. However, this choice often backfires in the long run. A eye-opening Harvard study found that unhealthy diets add a whopping $50 billion to healthcare costs each year. And that’s not even counting the personal costs of health problems, lost income, and higher living expenses that often come with poor nutrition.

Mapping Healthy Food Costs: A State-by-State Breakdown

The PlushCare team set out to answer a key question: Just how much more does healthy food cost compared to less nutritious options?

How They Did It

The team carefully gathered price data for 20 healthy and 20 unhealthy food items (using Target’s store brands) across every state. They calculated the calorie content of each product, then grouped the data by state to compare the price per calorie for both healthy and unhealthy options. This allowed them to figure out the average cost of eating only healthy food in each state and see how affordable it is based on local average salaries.

Key Findings

The PlushCare team’s analysis turned up some surprising results:

  • Hawaii has the biggest price gap, with healthy foods costing 3.70 times more than unhealthy options — way above the national average of 3.02.
  • New York has the second-highest yearly cost for healthy eating at $14,525 — much higher than the national average of $10,614.
  • Colorado is the bright spot, with the lowest yearly cost for a healthy diet at $10,268.
  • Washington state offers the best balance of health and affordability, with a healthy diet costing just 17.38% of the average yearly salary.

A Closer Look at Regional Differences

Hawaii’s High Prices: An Island Challenge

Hawaii’s position as the priciest state for healthy eating mostly comes down to its isolation. Importing 85–90% of its food is expensive, especially for fresh produce. The state’s scattered islands also lead to big price differences between areas, making it even harder for rural residents or those working long hours to find affordable healthy food.

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