A new national study suggests Michigan has more severe racial divides in its health care system than other Great Lakes states, with Black residents experiencing the poorest outcomes.

Michigan ranked 29th out of 39 states in overall healthcare for Black residents, according to the Commonwealth Fund’s scorecard.

The study also shows the state’s health system performs below average for white residents compared to other states.

Bridge Michigan reports the study evaluated 25 indicators of healthcare performance, encompassing health outcomes, access, and quality of services.

Unlike most states where white residents receive the best care, Michigan saw Asian Americans/Native Hawaiians/Pacific Islanders having the highest health system performance.