Where Twain residents get care
CDC publishes only some of its health estimates for Twain, not the seven a Health Grade needs; here is what we do have.
Modeled estimates for adults 18+, CDC’s own estimate for Twain. How CDC estimates town health
What stands out about health in Twain
Cancer, COPD and heart disease run high in Twain
1 in 7 adults have had cancer (13.8%), about twice the California rate. 1 in 10 adults have COPD (10.2%), about twice the California rate. Heart disease is also above the state: 11%, vs 5.6% across California. In all, Twain runs above California on nine of 11 chronic conditions. Conditions ↓
More high blood pressure in Twain, and more people treating it
44.6% of adults have high blood pressure (California 30.5%), but 81.4% of them take medicine for it, vs 71.3% statewide. Checkups ↓
Twain keeps up with checkups
It beats California on three of five routine checkups and screenings, including yearly checkups (80.4% vs 71.9%) and cholesterol checks (90.8% vs 85.4%). Checkups ↓
Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the California figure falls outside Twain’s likely range.
Out of every 100 Twain adults…
Twain runs below CA on 1 of 12 conditions and above it on 9. Tap one to see it as people.
Keeping up with care
Share of Twain adults getting routine care. The full ring is 100%; the dark tick marks California.
Care in and near Twain
No hospital or community health center in Twain itself. These are the nearest.
Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Twain; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).
Everyday habits, side by side with California
Share of adults, with the California figure marked.
How Twain adults are doing
On 1 of 4 measures, Twain does better than California.
1 in 3 Twain adults feel lonely. A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
14% of Twain adults receive SNAP (food stamps), compared with 15.6% across California.
Twain and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Paxton | — | — | — | — |
Paxton: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Twain adults live with a disability (California 30.4%). Walking or climbing stairs is the most common.
Questions about health in Twain
Why doesn’t Twain have a Health Grade?
Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Twain.
What hospital is closest to Twain?
Plumas District Hospital in Quincy, 7.9 miles in a straight line from Twain’s center point, is the nearest general hospital with an emergency room. It has no Medicare star rating.
Neighbors talk health
Doctors taking patients, urgent care, staying active in Twain.
Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The California figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.