Georgia
Half of Georgia Counties—Mostly Rural—Have Poor Health Outcomes – Flagpole
One of my objectives with Trouble in God’s Country has been to put Georgia’s performance across a range of socio-economic measures into a national context. As regular readers may recall, I’ve reported that Georgia has hugely disproportionate shares of its geography and population mired at the bottom of the national ladder for various measures.
In 2020, for example, Georgia had more people living in counties that were in the bottom national quartile for per capita income than any other state in the nation. Likewise, I found in analyzing educational attainment data that the 147 counties outside my 12-county Metro Atlanta region would constitute the second-worst educated state in the nation, behind Mississippi and just a little better than West Virginia. The Atlanta region would constitute the second-best educated state in the country, behind Colorado and ahead of Massachusetts.
Doing the same thing with health data has always been a little trickier, but a couple of months ago the nonprofit organization County Health Rankings & Roadmaps (CHRR) came to the rescue.
As a little background, CHRR has, for more than a decade now, been collecting and reporting key population health metrics on the vast majority of counties in the nation (there are always some counties you can’t get data for). The program is run by the University of Wisconsin’s Population Health Institute and funded, at least in part, by the Robert Wood Johnson Foundation.
As part of its annual report, it has historically included in-state rankings; with this year’s report, it includes data that makes it possible to rank all counties nationally. Which is just what I needed.
So, the question I’d been waiting to get an answer to was simply: Would the same thing hold true with health? The answer, sadly, is… absolutely.
CHRR gauges county-level health outcomes by stirring together local data for the following measures: premature death rates, the percentage of live births reported with low birthweight, the percentage of adults reporting fair or poor health, and the average number of physically and mentally unhealthy days reported in the past 30 days.
Eighty-three of Georgia’s 159 counties are in the bottom national quartile for health outcomes, based on the CHRR rankings—more than any other state. This includes all but 20 of the counties south of the Gnat Line.
According to the Census Bureau’s latest population estimates, those 83 counties are home to 2.43 million Georgians. I’m still stitching together the national population analysis, but I’ll go out on a limb and say I’ll be more than a little surprised if we don’t also lead the nation in the number of people living in bottom-quartile counties.
The counties at the top and bottom of the Georgia list won’t come as a surprise to anybody. The top five Georgia counties for health outcomes, per the CHRR report, are (in order): Forsyth County, Oconee County, Cherokee County, Cobb County and Columbia County. The bottom five are: Early County at 155th; Crisp at 156th; Randolph County at 157th; Hancock County at 158th and Miller County at 159th.
One other factoid I can include here is that the Georgia-North Carolina contrast I’ve found with other measures holds true with health outcomes as well. Generally regarded as perhaps Georgia’s closest peer state, North Carolina has somehow managed to do a much better job than Georgia of limiting the number of its citizens who fall into the nation’s bottom tier for economic performance and educational attainment.
The same is true with CHRR’s health outcomes. Only 19 of North Carolina’s 100 counties and 6.7% of its population fell into the bottom national quartile for health outcomes in the latest study. In contrast, 22% of Georgia’s population live in the 83 counties that landed in the bottom quartile for health outcomes.
With both per capita income and educational attainment, I’ve been able to demonstrate that the gap between Georgia and North Carolina developed over time. With both those measures, there was a time when the two states had very comparable data profiles. But over time, North Carolina has done a better job of pulling its citizens out of the bottom national quartile for economic performance and educational attainment. I’ll be surprised if the same pattern doesn’t hold true with health outcomes.
Charles Hayslett is the author of the long-running troubleingodscountry.com blog. He is also the Scholar in Residence at the Center for Middle Georgia Studies at Middle Georgia State University. The views expressed in his columns are his own and are not necessarily those of the Center or the University.
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NORCROSS, GEORGIA — Geoff Duncan, former Republican lieutenant governor of Georgia, won’t stop apologizing.
He’s sorry for supporting the state’s 2019 “heartbeat bill,” which bans abortion at around six weeks, after a fetal heartbeat is detected. He’s sorry for facilitating the passage of a “constitutional carry” bill in 2022, which allows most people to carry a concealed handgun with no license or background check. He’s also sorry for opposing Medicaid expansion, arguing at the time that it was not fiscally responsible.
“I’m sorry for those positions and any harm that they may have done,” Duncan told me.
Duncan first rose to prominence as one of the Republicans who resisted President Donald Trump’s attempt to overturn Joe Biden’s narrow 2020 win in Georgia. Duncan has been speaking out against what he calls Trump’s “toxic” and “dangerous” Republican Party since leaving office in 2023, and even endorsed Kamala Harris and spoke at the Democratic National Convention in 2024. After being excommunicated from the Georgia Republican Party in January 2025, Duncan switched parties in August. He is now running for governor as a Democrat in what will be one of the most closely watched races in the midterms.
Georgia Tech didn’t let the weekend get away.
The No. 2 Yellow Jackets were flying high with a 13-game win streak heading into the weekend showdown against No. 3 North Carolina. The Tar Heels took the first two games, but Tech salvaged the finale 5-2 on Sunday.
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CHAPEL HILL, N.C. – No. 2 Georgia Tech got back to its winning ways, defeating No. 3 North Carolina (33-7-1, 15-6 ACC) by a final score of 5-2 from Boshamer Stadium in Chapel Hill, N.C. The Yellow Jackets (32-7, 16-5 ACC) held UNC in check from the third inning on, using 6.1 scoreless innings from Caden Gaudette and Mason Patel to salvage the series and collect its 10th Top 15 victory of the season for this first time this century.
After both teams traded runs in the first inning, the Jackets struck for three runs on three hits in the third. The inning started with a leadoff double from Drew Burress who was quickly brought to the plate by a single from Jarren Advincula. Vahn Lackey drew a walk off a full count before Kent Schmidt connected for an RBI double, bringing in Advincula for what would become the game-winning run. Lackey made it a three-run inning when he scored on an RBI groundout by Ryan Zuckerman. UNC would work the bases loaded and score a run in the bottom of the inning before Gaudette entered the game and induced an inning ending groundout. UNC wouldn’t get another runner into scoring position until the eight inning as Gaudette and Patel slammed the door on any potential comeback.
QUICK HITS: TEAM
- The Jackets improve to 32-7, the best start to a season since 2010. Tech is 16-5 in ACC play, the best start since 2011.
- Tech has won 32 of its first 39 games for only the 6th time in the program’s 131 seasons: 2010, 2003 2002, 1997, 1993 and now 2026.
- James Ramsey owns the best record by any GT head coach in his first season through 39 games (32-7).
- The Jackets improve to 8-1 in nationally televised games this season.
- Tech has now won 10 games over Top 15 opponents for the first time this century.
- Tech has scored 417 runs through their first 39 games. It’s the most runs Georgia Tech has recorded after 39 games in the program’s 131-year history and the most runs any Power 4 team has scored through 39 games in the BBCOR era (since 2011).
- The Jackets scoring average now stands at 10.7 runs/game this season. The program record is 10.3, set back in 1984.
- GT is outscoring its opponents 417-174, that +243 margin is the highest through 39 games in program history.
- The bullpen delivered 6.1 scoreless innings, marking the 15th scoreless outing of the season and second of the weekend.
QUICK HITS: THE BATS
- Junior Drew Burress produced his 17th multi-hit game of the season, going 2-for-5 with a double and two runs scored.
- He has scored 51 runs this season, one shy of Vahn Lackey for the most on the team. Burress has scored 201 runs over his career, tied with Danny Payne (2005-07) for the 11th most in Georgia Tech history.
- He becomes the first Yellow Jacket in the BBCOR era to record 200+ runs over a career.
- Junior Kent Schmidt went 2-for-4 with a go-ahead RBI double and a shift-beating bunt.
- He leads the team with 26 RBI in ACC play and has delivered 35 for the season.
- Schmidt has now collected extra base hits in three straight games for the first time this season and third time in his GT career.
- He finishes the series with a .500 average, going 4-for-8 with two doubles, a home run, three RBI, two runs scored and three walks
- Junior Jarren Advincula recorded his 24th multi-hit game of the season, going 2-for-5 with an RBI and a run scored.
- He leads the ACC with 68 hits this season, averaging 1.7 hits per game and putting him on pace for 94 hits over the course of the regular season. With potential postseason games, that would put him in striking distance of being the first 100-hit player at GT since 2005 (Wes Hodges & Tyler Greene).
- He drove in his 45th RBI of the season, the third most on the team behind Vahn Lackey and Ryan Zuckerman.
- Junior Ryan Zuckerman became the first Jacket to reach 50 RBI when he drove in Lackey for the fourth run of the game.
- Sophomore Caleb Daniel came off the bench in the 5th inning and blooped an RBI double, it was his 24th RBI of the season and his 5th as a pinch hitter.
QUICK HITS: THE ARMS
- Sophomore Jackson Blakely made his sixth consecutive weekend start, pitching 2.2 innings with two earned runs allowed and three strikeouts.
- He has only allowed runs in only three of his eight appearances this season (37.1 innings) this season.
- His ERA stands at 2.65, the lowest among all starting pitchers on the roster.
- R-junior Caden Gaudette made his team-leading 16th appearance of the season and 2nd of the weekend, pitching 2.1 scoreless innings.
- He entered the game with a two-run lead (4-2) and the bases loaded with two outs before inducing an inning ending groundout to short.
- Gaudette lowers his ERA to 2.86 in 22.0 innings of work.
- The man they call “Rock” pitched a total of 3.1 innings this weekend, allowing only one hit with four strikeouts.
- He has now pitched as many innings this season as he had in his previous two years combined (22.0) while allowing less than half as many earned runs (7 in 2026, 15 in 2024-25) and exactly half as many hits (12 in 2026, 24 in 2024-25).
- Mason Patel got the ball to start the 6th inning, keeping the score at 5-2 for the final four frames and collecting his fourth save of the season.
- Since recovering from an injury that saw him miss 20 days, Patel has made six appearances out of the bullpen, pitching 13.2 scoreless innings with a victory and four saves.
- Over the last two seasons, Patel has made 29 appearances out of the bullpen, posting 12 wins and nine saves.
- This was his longest relief appearance of the season (4.0 innings) after pitching at least 3.0 innings in 15 of his 23 appearances during his All-American season last year.
Up Next
Clean, Old-Fashioned Hate. Tuesday at 7 pm at Truist Park. Tickets are available HERE with all proceeds benefiting the Aflac Cancer and Blood Disorders Center of Children’s Healthcare of Atlanta.
Full Steam Ahead
Full Steam Ahead is a $500 million fundraising initiative to achieve Georgia Tech athletics’ goal of competing for championships at the highest level in the next era of intercollegiate athletics. The initiative will fund transformative projects for Tech athletics, including renovations of Bobby Dodd Stadium at Hyundai Field (the historic home of Georgia Tech football), the Zelnak Basketball Center (the practice and training facility for Tech basketball) and O’Keefe Gymnasium (the venerable home of Yellow Jackets volleyball), as well as additional projects and initiatives to further advance Georgia Tech athletics through program wide-operational support. All members of the Georgia Tech community are invited to visit atfund.org/FullSteamAhead for full details and renderings of the renovation projects, as well as to learn about opportunities to contribute online.
For the latest information on the Georgia Tech baseball team, follow us on X (@GTBaseball), Facebook, Instagram (@gt_baseball) or visit us at www.ramblinwreck.com.
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