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President's HousePresident's House · Photo: Michael Barera · CC BY-SA 4.0
≈ CHealth Grade
Health in Commerce · CDC PLACES 2025

Among U.S. towns with similar household incomes, Commerce is healthier than 82%

Commerce differs from Texas on 18 of 31 measures CDC estimates: 5 better, 13 worse.

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

What stands out · In brief

What stands out about health in Commerce

Mental distress runs high in Commerce

1 in 4 adults are in frequent mental distress (24.4%), vs 16.9% across Texas. Depression is above the state too: 26.7%, vs 21.2% across Texas. Mind & connection ↓

Making ends meet is harder in Commerce

3 in 10 adults worry about having enough food (28.3%), vs 19.3% across Texas. No reliable transportation (17.4% vs 10.5%) and utility shut-off threats (14.8% vs 10.7%) are higher too. 24.8% of adults receive SNAP, vs 14.6% statewide. Everyday needs ↓

Dental care lags in Commerce

48.4% of adults saw a dentist this year, vs 54.6% across Texas. Among those 65 and older, 21% have lost all their teeth (Texas 12.5%). Checkups ↓

Commerce is healthier than its income would predict

Against all U.S. towns, Commerce is healthier than 35%. Against the 3,790 towns with similar household incomes ($33K–$55K), it’s healthier than 82%. 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 Texas figure falls outside Commerce’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B.

Health Grade

What’s behind Commerce’s grade

On seven CDC estimates for adults, Commerce is healthier than 35% of U.S. towns, #320 of 641 in Texas. Diabetes holds the grade up (fewer adults with diabetes than 77% of U.S. towns); mental distress pulls it down (near the bottom of U.S. towns).

C−Self-rated health25% · TX 21.8% · U.S. 19.4%
B−Physical distress14.1% · TX 13.2% · U.S. 13%
D−Mental distress24.4% · TX 16.9% · U.S. 15.9%
C+Obesity37% · TX 35.6% · U.S. 32.9%
A−Diabetes10.3% · TX 12.7% · U.S. 12%
B−Smoking15.2% smoke · TX 12.5% · U.S. 11.8%
CExercise29.1% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 35%
Less healthyHealthier
Texas towns we grade (641)Healthier than 50%
U.S. towns with similar incomes, $33K–$55K (3,790)Healthier than 82%

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). Commerce’s median household income is $44,386; among the 3,790 U.S. towns within 25% of that ($33K–$55K), it’s healthier than 82%, more than its income alone would suggest.

Few Texas towns score lower on these estimates than towns elsewhere, so within the state Commerce is healthier than 50% of graded towns, against 35% nationally.

Where Commerce compares well: high cholesterol (adults screened in 5 years), 29% (U.S. 37.1%); arthritis, 18.4% (U.S. 25.3%); cancer, other than skin cancer, 4.5% (U.S. 7.9%).

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

How TownRatings grades health →

Mind & connection

How Commerce adults are doing

On 2 of 3 measures, Commerce runs above Texas.

1 in 3Commerce adults lack social or emotional support
31.8% · TX 28.4% · About the same as TX
1 in 4Commerce adults have been diagnosed with depression
26.7% · TX 21.2% · Worse than TX
1 in 4Commerce adults are in frequent mental distress
24.4% · TX 16.9% · Worse than TX
The one neighbors can help with

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.

3 in 10
Commerce adults worry about having enough food
28.3% · TX 19.3%
Worse than TX
1 in 5
Commerce adults worry about keeping their housing
21.4% · TX 16.4%
Worse than TX
1 in 7
Commerce adults were threatened with a utility shut-off
14.8% · TX 10.7%
Worse than TX
1 in 6
Commerce adults lack reliable transportation
17.4% · TX 10.5%
Worse than TX

24.8% of Commerce adults receive SNAP (food stamps), compared with 14.6% across Texas.

Checkups & screenings

Keeping up with care

Share of Commerce adults getting routine care. The full ring is 100%; the dark tick marks Texas.

72%Yearly checkupTX 74%
48%Dentist visitTX 55%
75%Cholesterol checkTX 85%
57%Colon screeningTX 58%
69%MammogramTX 74%
66%Taking BP medsTX 74%
1 in 6
working-age adults has no health insurance
Commerce 15.7% · Texas 1 in 5 (19.1%)
Chronic conditions

Out of every 100 Commerce adults…

Commerce runs below TX on 4 of 12 conditions and above it on 4. Tap one to see it as people.

12 of every 100 Commerce adults have asthma
Texas: 10 in 100 · worse · likely 10.8–13.9%
Better than TXWorseAbout the sameTexas
Why age matters in Commerce

Only 7% of Commerce residents are 65 or older, vs 13% across Texas. Arthritis, cancer and diabetes run low partly because the town is young.

Residents 65 and older

Commerce7%
Texas13%
Getting care

Care in and near Commerce

No hospital or community health center in Commerce itself. These are the nearest.

HNearest ERHunt Regional Medical CenterGreenville · 15.3 miDirections →
★Best rated nearbyChristus Mother Frances Hospital Sulphur Springs★★★★★ · 18.3 miDirections →
+Low-cost careThe Community Health Service Agency, Inc. of Hunt CountyGreenville · 14.5 mi · sliding-scale feesDirections →
14.5 mi
The Community Health Service Agency, Inc. of Hunt County
8 sites · nearest in Greenville
Sliding-scale fees
Directions to nearest
15.3 mi
Hunt Regional Medical Center
Greenville · ★★★★★
ER
18.3 mi
Christus Mother Frances Hospital Sulphur Springs
Sulphur Springs · ★★★★★
ER
27.9 mi
TMC- Bonham Hospital
Bonham · not rated
ERRural critical access
36.9 mi
Paris Regional Medical Center
Paris · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Commerce itself
✓ Dental careNo HRSA shortage area covers Commerce itself
✓ Mental healthNo HRSA shortage area covers Commerce 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 Commerce; ≈ 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 Texas

Share of adults, with the Texas figure marked.

Get no exercise 29.1%TX 27.8%
Sleep under 7 hours 41%TX 38.2%
Binge drink 17.2%TX 17%
Smoke cigarettes 15.2%TX 12.5%
0%10%20%30%40%50%
Commerce, betterCommerce, worseAbout the sameTexas
Where Commerce gets moving

0.7 miles of trails across 3 parks and preserves

Parks & trails →
Around town

Commerce and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
CommerceC37%10.3%15.2%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

38.1%

of Commerce adults live with a disability (Texas 30.9%). Thinking or memory is the most common.

Walking or climbing stairs13.7%
Thinking or memory22.5%
Hearing5.8%
Errands alone13%
Vision7.3%
Dressing or bathing4.6%
Texas

Every CDC estimate for Commerce

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Commerce is better than Texas on 5 and worse on 13; on the rest, the Texas figure falls inside Commerce’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CommerceTXU.S.vs TX
Overall health
Fair or poor health25%21.8–28.621.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)14.1%12.3–1613.2%13%About the same
Frequent mental distress (mental health not good 14+ days a month)24.4%21.7–27.316.9%15.9%Worse
Conditions
Obesity37%29.2–4535.6%32.9%About the same
Diabetes10.3%9–11.712.7%12%Better
High blood pressure30.4%26.7–3433.1%34.4%About the same
High cholesterol (adults screened in 5 years)29%25.3–32.535.1%37.1%Better
Arthritis18.4%16.1–20.721.6%25.3%Better
Asthma12.3%10.8–13.99.5%9.9%Worse
Cancer, other than skin cancer4.5%4.1–56.1%7.9%Better
Coronary heart disease5.1%4.5–5.65.6%6.4%About the same
COPD6.9%6.1–7.85.7%6.3%Worse
Stroke3.1%2.8–3.33.2%3.4%About the same
Lost all teeth (ages 65+)21%17.3–24.812.5%12.3%Worse
Habits
Smoke cigarettes15.2%13–17.712.5%11.8%Worse
No exercise outside work29.1%24.5–34.327.8%24.7%About the same
Binge drinking17.2%14.1–20.517%15.4%About the same
Sleep under 7 hours41%34.1–47.738.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)15.7%13.1–18.819.1%11%Better
Checkup in the past year71.7%67.4–75.773.8%77.4%About the same
Dentist visit in the past year48.4%44.7–52.154.6%63.2%Worse
Cholesterol check in 5 years74.6%71.4–77.584.6%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)65.8%63.4–68.174.1%76.5%Worse
Colorectal cancer screening (ages 45–75)57.1%51.5–62.257.9%65.5%About the same
Mammogram in 2 years (women 50–74)68.5%59.6–76.374.1%76.4%About the same
Mind and connection
Ever told they have depression26.7%22.8–30.821.2%20.6%Worse
Lack social and emotional support31.8%27.9–35.828.4%23.6%About the same
Everyday needs
Worried about having enough food28.3%25.8–30.719.3%15%Worse
Worried about keeping housing21.4%19.1–23.616.4%12%Worse
Threatened with a utility shut-off14.8%13.1–16.510.7%7.6%Worse
Lack reliable transportation17.4%15.9–18.910.5%7.9%Worse
Received SNAP (food stamps)24.8%22.5–27.214.6%11.6%Higher
Disability
Any disability38.1%33.2–43.430.9%30.1%Higher
Difficulty walking or climbing stairs13.7%11.9–15.614%13.6%About the same
Difficulty concentrating or remembering22.5%19.9–25.615.1%13.9%Higher
Hearing difficulty5.8%5.1–6.56.3%6.7%About the same
Vision difficulty7.3%6.6–8.36.1%5.4%Higher
Difficulty doing errands alone13%11.4–14.98.2%7.9%Higher
Difficulty dressing or bathing4.6%4.1–5.14%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 Texas figure falls inside that range.

Questions about health in Commerce

Is Commerce a healthy place to live?

On seven CDC estimates for adults, Commerce is healthier than 35% of U.S. towns: ≈ C for health, #320 of 641 in Texas. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Commerce?

CDC estimates 37% of adults have obesity, likely between 29.2% and 45%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Commerce?

Hunt Regional Medical Center in Greenville, 15.3 miles in a straight line from Commerce’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Commerce have no health insurance?

CDC estimates 15.7% of adults ages 18–64 have no health insurance (likely 13.1–18.8%), against 19.1% across Texas.

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 Commerce 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 Commerce.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Texas 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.