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Downtown Franklin, North Carolina, in Macon County 05Photo: Harrison Keely · CC BY 4.0
≈ CHealth Grade
Health in Franklin · CDC PLACES 2025

Among U.S. towns with similar household incomes, Franklin is healthier than 76%

Franklin trails North Carolina on 9 of 32 measures CDC estimates, and leads on none.

Modeled estimates for adults 18+, CDC’s own estimate for Franklin. How CDC estimates town health

What stands out · In brief

What stands out about health in Franklin

COPD, heart disease and cancer run high in Franklin

1 in 10 adults have COPD (9.6%), vs 7.1% across North Carolina. 1 in 12 adults have heart disease (8.3%), vs 6.6% across North Carolina. Cancer is also above the state: 9.8%, vs 7.9% across North Carolina. In all, Franklin runs above North Carolina on five of 11 chronic conditions. Age is part of it: 29% of residents are 65 or older (North Carolina 17%), and COPD, heart disease and cancer are more common later in life. Conditions ↓

1 in 7 working-age adults in Franklin has no health insurance

13.6% of adults 18–64 have no health insurance, vs 10.4% across North Carolina. Checkups ↓

Franklin is healthier than its income would predict

Against all U.S. towns, Franklin is healthier than 35%. Against the 4,971 towns with similar household incomes ($36K–$60K), it’s healthier than 76%. Health Grade ↓

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 North Carolina figure falls outside Franklin’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B+.

Health Grade

What’s behind Franklin’s grade

On seven CDC estimates for adults, Franklin is healthier than 35% of U.S. towns, #197 of 289 in North Carolina. Obesity holds the grade up (fewer adults with obesity than 53% of U.S. towns); fair or poor health pulls it down (better than 27%).

CSelf-rated health22.5% · NC 19% · U.S. 19.4%
CPhysical distress15.2% · NC 12.7% · U.S. 13%
C+Mental distress17.6% · NC 16.5% · U.S. 15.9%
B−Obesity35.8% · NC 35.1% · U.S. 32.9%
C+Diabetes13% · NC 12% · U.S. 12%
C+Smoking15.9% smoke · NC 13.5% · U.S. 11.8%
CExercise28.3% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 35%
Less healthyHealthier
North Carolina towns we grade (289)Healthier than 32%
U.S. towns with similar incomes, $36K–$60K (4,971)Healthier than 76%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Franklin’s median household income is $47,888; among the 4,971 U.S. towns within 25% of that ($36K–$60K), it’s healthier than 76%, more than its income alone would suggest.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Franklin could be anywhere from D to B+. The letter shows with “≈”.

How TownRatings grades health →

Chronic conditions

Out of every 100 Franklin adults…

Franklin runs above NC on 5 of 12 conditions. Tap one to see it as people.

10 of every 100 Franklin adults have COPD
North Carolina: 7 in 100 · worse · likely 8.3–10.9%
Better than NCWorseAbout the sameNorth Carolina
Why age matters here

Franklin is an older town: 29% of residents are 65 or older, vs 17% across North Carolina. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Franklin as about how healthy they are.

Residents 65 and older

Franklin29%
North Carolina17%
Checkups & screenings

Keeping up with care

Share of Franklin adults getting routine care. The full ring is 100%; the dark tick marks North Carolina.

80%Yearly checkupNC 80%
59%Dentist visitNC 64%
86%Cholesterol checkNC 88%
66%Colon screeningNC 66%
76%MammogramNC 79%
78%Taking BP medsNC 77%
1 in 7
working-age adults has no health insurance
Franklin 13.6% · North Carolina 1 in 10 (10.4%)
Getting care

Care in and near Franklin

3 community health centers in Franklin, plus the nearest just outside it.

HNearest ERAngel Medical CenterFranklin · 1.9 miDirections →
★Best rated nearbyHarris Regional Hospital★★★★★ · 17.3 miDirections →
+Low-cost careMountain Area Health Education CenterFranklin · 0.3 mi · sliding-scale feesDirections →
0.3 mi
Mountain Area Health Education Center
2 sites · nearest in Franklin
Sliding-scale feesIn Franklin
Directions to nearest
0.8 mi
Blue Ridge Community Health Services
4 sites · nearest in Franklin
Sliding-scale feesIn Franklin
Directions to nearest
1.7 mi
North Carolina Department of Health & Human Services
2 sites · nearest in Franklin
Sliding-scale feesIn Franklin
Directions to nearest
1.9 mi
Angel Medical Center
Franklin · ★★★★★
ERRural critical access
12.8 mi
Highlands Cashiers Hospital
Highlands · not rated
ERRural critical access
17.3 mi
Harris Regional Hospital
Sylva · ★★★★★
ER
18 mi
DLP Swain County Hospital
Bryson City · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Franklin itself
✓ Dental careNo HRSA shortage area covers Franklin itself
✓ Mental healthNo HRSA shortage area covers Franklin itself

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 Franklin; ≈ 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).

Habits

Everyday habits, side by side with North Carolina

Share of adults, with the North Carolina figure marked.

Get no exercise 28.3%NC 23.8%
Sleep under 7 hours 33.3%NC 34.2%
Binge drink 14.2%NC 14.7%
Smoke cigarettes 15.9%NC 13.5%
0%10%20%30%40%
Franklin, betterFranklin, worseAbout the sameNorth Carolina
Where Franklin gets moving

0.9 miles of trails across 3 parks and preserves

Parks & trails →
Mind & connection

How Franklin adults are doing

About the same as North Carolina on each measure.

1 in 3Franklin adults feel lonely
31.7% · NC 32.5% · About the same as NC
1 in 5Franklin adults lack social or emotional support
21.5% · NC 22.5% · About the same as NC
1 in 4Franklin adults have been diagnosed with depression
26.7% · NC 24.2% · About the same as NC
1 in 6Franklin adults are in frequent mental distress
17.6% · NC 16.5% · About the same as NC
The one neighbors can help with

1 in 3 Franklin adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 6
Franklin adults worry about having enough food
16.8% · NC 15.2%
About the same as NC
1 in 8
Franklin adults worry about keeping their housing
12.3% · NC 12.2%
About the same as NC
1 in 12
Franklin adults were threatened with a utility shut-off
8.1% · NC 8.1%
About the same as NC
1 in 11
Franklin adults lack reliable transportation
8.9% · NC 8.4%
About the same as NC

13.9% of Franklin adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Around town

Franklin and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
FranklinC35.8%13%15.9%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

38.2%

of Franklin adults live with a disability (North Carolina 32%). Walking or climbing stairs is the most common.

Walking or climbing stairs17.8%
Thinking or memory17.3%
Hearing9.8%
Errands alone10.1%
Vision6.5%
Dressing or bathing4.8%
North Carolina

Every CDC estimate for Franklin

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Franklin is better than North Carolina on 0 and worse on 9; on the rest, the North Carolina figure falls inside Franklin’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…FranklinNCU.S.vs NC
Overall health
Fair or poor health22.5%19.4–25.619%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.2%13.2–17.112.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)17.6%15.4–19.616.5%15.9%About the same
Conditions
Obesity35.8%27.3–4435.1%32.9%About the same
Diabetes13%11.1–14.912%12%About the same
High blood pressure39.7%35–4436.8%34.4%About the same
High cholesterol (adults screened in 5 years)38.7%34–43.135.6%37.1%About the same
Arthritis31.2%27.5–34.726.9%25.3%Worse
Asthma11%9.5–12.410.8%9.9%About the same
Cancer, other than skin cancer9.8%8.8–10.87.9%7.9%Worse
Coronary heart disease8.3%7.3–9.26.6%6.4%Worse
COPD9.6%8.3–10.97.1%6.3%Worse
Stroke4.4%3.9–4.83.6%3.4%Worse
Lost all teeth (ages 65+)15.4%12.5–18.513.9%12.3%About the same
Habits
Smoke cigarettes15.9%13.4–18.413.5%11.8%About the same
No exercise outside work28.3%23.4–3323.8%24.7%About the same
Binge drinking14.2%11.3–17.114.7%15.4%About the same
Sleep under 7 hours33.3%26.9–40.234.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)13.6%11.2–15.910.4%11%Worse
Checkup in the past year79.5%75.5–82.980%77.4%About the same
Dentist visit in the past year59.4%55.6–63.263.6%63.2%Worse
Cholesterol check in 5 years86.3%84.1–88.287.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)78.3%75–80.876.7%76.5%About the same
Colorectal cancer screening (ages 45–75)66.1%60.9–70.965.7%65.5%About the same
Mammogram in 2 years (women 50–74)76%68.1–82.778.7%76.4%About the same
Mind and connection
Ever told they have depression26.7%22.5–30.824.2%20.6%About the same
Feel lonely31.7%26.7–37.432.5%32.5%About the same
Lack social and emotional support21.5%18–25.322.5%23.6%About the same
Everyday needs
Worried about having enough food16.8%14.2–2015.2%15%About the same
Worried about keeping housing12.3%10.5–14.512.2%12%About the same
Threatened with a utility shut-off8.1%6.9–9.48.1%7.6%About the same
Lack reliable transportation8.9%7.7–10.28.4%7.9%About the same
Received SNAP (food stamps)13.9%11.7–16.712.3%11.6%About the same
Disability
Any disability38.2%33.2–42.832%30.1%Higher
Difficulty walking or climbing stairs17.8%15.3–20.214.2%13.6%Higher
Difficulty concentrating or remembering17.3%15–19.414.8%13.9%Higher
Hearing difficulty9.8%8.6–117.3%6.7%Higher
Vision difficulty6.5%5.8–7.25.3%5.4%Higher
Difficulty doing errands alone10.1%8.8–11.48.2%7.9%Higher
Difficulty dressing or bathing4.8%4.3–5.34%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the North Carolina figure falls inside that range.

Questions about health in Franklin

Is Franklin a healthy place to live?

On seven CDC estimates for adults, Franklin is healthier than 35% of U.S. towns: ≈ C for health, #197 of 289 in North Carolina. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Franklin?

CDC estimates 35.8% of adults have obesity, likely between 27.3% and 44%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Franklin?

Angel Medical Center in Franklin, 1.9 miles in a straight line from Franklin’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Franklin have no health insurance?

CDC estimates 13.6% of adults ages 18–64 have no health insurance (likely 11.2–15.9%), against 10.4% across North Carolina.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Franklin more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to B+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Franklin.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The North Carolina figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. 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.