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MarfaTX Downtown 15Aug2012Photo: Mathieu Lebreton from Paris, France · CC BY 2.0
≈ C−Health Grade
Health in Marfa · CDC PLACES 2025

Among U.S. towns with similar household incomes, Marfa is healthier than 59%

Marfa differs from Texas on 16 of 31 measures CDC estimates: 1 better, 15 worse.

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

What stands out · In brief

What stands out about health in Marfa

Heart disease, diabetes and COPD run high in Marfa

1 in 11 adults have heart disease (9%), vs 5.6% across Texas. 1 in 5 adults have diabetes (18.9%), vs 12.7% across Texas. COPD is also above the state: 8.4%, vs 5.7% across Texas. In all, Marfa runs above Texas on eight of 11 chronic conditions. Age is part of it: 28% of residents are 65 or older (Texas 13%), and heart disease, diabetes and COPD are more common later in life. Conditions ↓

Marfa is short on every kind of care federal data tracks

Marfa’s county is a federal shortage area for primary care, dental care and mental health care, meaning too few providers for the people who live there. Getting care ↓

More Marfa adults get no exercise

36.5% of adults get no exercise outside work, vs 27.8% across Texas. Habits ↓

More high blood pressure in Marfa, and more people treating it

41.3% of adults have high blood pressure (Texas 33.1%), but 79.8% of them take medicine for it, vs 74.1% statewide. Checkups ↓

Marfa is healthier than its income would predict

Against all U.S. towns, Marfa is healthier than 18%. Against the 3,759 towns with similar household incomes ($33K–$55K), it’s healthier than 59%. 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 Marfa’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to B−.

Health Grade

What’s behind Marfa’s grade

On seven CDC estimates for adults, Marfa is healthier than 18% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 66% of U.S. towns); diabetes pulls it down (better than 3%).

DSelf-rated health30.2% · TX 21.8% · U.S. 19.4%
DPhysical distress17.4% · TX 13.2% · U.S. 13%
B+Mental distress16.1% · TX 16.9% · U.S. 15.9%
C−Obesity39.8% · TX 35.6% · U.S. 32.9%
D−Diabetes18.9% · TX 12.7% · U.S. 12%
B−Smoking14.7% smoke · TX 12.5% · U.S. 11.8%
DExercise36.5% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 18%
Less healthyHealthier
U.S. towns with similar incomes, $33K–$55K (3,759)Healthier than 59%

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). Marfa’s median household income is $44,306; among the 3,759 U.S. towns within 25% of that ($33K–$55K), it’s healthier than 59%, more than its income alone would suggest.

Where Marfa compares well: taking blood pressure medicine (adults with high blood pressure), 79.8% (U.S. 76.5%).

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

How TownRatings grades health →

Chronic conditions

Out of every 100 Marfa adults…

Marfa runs above TX on 9 of 12 conditions. Tap one to see it as people.

9 of every 100 Marfa adults have heart disease
Texas: 6 in 100 · worse · likely 7.9–10.2%
Better than TXWorseAbout the sameTexas
Why age matters here

Marfa is an older town: 28% of residents are 65 or older, vs 13% across Texas. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Marfa as about how healthy they are.

Residents 65 and older

Marfa28%
Texas13%
Getting care

Care in and near Marfa

1 community health center in Marfa, plus the nearest just outside it.

HNearest ERBig Bend Regional Medical CenterAlpine · 21.7 miDirections →
+Low-cost carePreventative Care Health ServicesMarfa · 0.3 mi · sliding-scale feesDirections →
0.3 mi
Preventative Care Health Services
5 sites · nearest in Marfa
Sliding-scale feesIn Marfa
Directions to nearest
21.7 mi
Big Bend Regional Medical Center
Alpine · not rated
ERRural critical access
64.7 mi
Culberson Hospital
Van Horn · not rated
ERRural critical access
78.8 mi
Pecos County Memorial Hospital
Fort Stockton · not rated
ERRural critical access
79.1 mi
Cactus Health Services
Fort Stockton · community health center
Sliding-scale fees
81.3 mi
Reeves Regional Health
Pecos · ★★★★★
ERRural critical access
✓ Primary careNo HRSA shortage area covers Marfa itself
✓ Dental careNo HRSA shortage area covers Marfa itself
✓ Mental healthNo HRSA shortage area covers Marfa 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 Marfa; ≈ 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 36.5%TX 27.8%
Sleep under 7 hours 36%TX 38.2%
Binge drink 14.3%TX 17%
Smoke cigarettes 14.7%TX 12.5%
0%10%20%30%40%
Marfa, betterMarfa, worseAbout the sameTexas
Where Marfa gets moving

1.3 miles of trails across 2 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

76%Yearly checkupTX 74%
52%Dentist visitTX 55%
86%Cholesterol checkTX 85%
58%Colon screeningTX 58%
69%MammogramTX 74%
80%Taking BP medsTX 74%
1 in 4
working-age adults has no health insurance
Marfa 24.8% · Texas 1 in 5 (19.1%)
Mind & connection

How Marfa adults are doing

About the same as Texas on each measure.

3 in 10Marfa adults lack social or emotional support
28.3% · TX 28.4% · About the same as TX
1 in 5Marfa adults have been diagnosed with depression
20.8% · TX 21.2% · About the same as TX
1 in 6Marfa adults are in frequent mental distress
16.1% · TX 16.9% · About the same as 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.

1 in 4
Marfa adults worry about having enough food
23.8% · TX 19.3%
Worse than TX
1 in 6
Marfa adults worry about keeping their housing
17.5% · TX 16.4%
About the same as TX
1 in 9
Marfa adults were threatened with a utility shut-off
11.2% · TX 10.7%
About the same as TX
1 in 8
Marfa adults lack reliable transportation
11.9% · TX 10.5%
Worse than TX

18.5% of Marfa adults receive SNAP (food stamps), compared with 14.6% across Texas.

Around town

Marfa and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
MarfaC−39.8%18.9%14.7%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

39.4%

of Marfa adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.

Walking or climbing stairs21.8%
Thinking or memory16.6%
Hearing10%
Errands alone10.6%
Vision9.4%
Dressing or bathing6.3%
Texas

Every CDC estimate for Marfa

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

On the 31 measures below that have a better and a worse direction, Marfa is better than Texas on 1 and worse on 15; on the rest, the Texas figure falls inside Marfa’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MarfaTXU.S.vs TX
Overall health
Fair or poor health30.2%25.8–34.921.8%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)17.4%15–2013.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)16.1%14–18.316.9%15.9%About the same
Conditions
Obesity39.8%30.9–49.335.6%32.9%About the same
Diabetes18.9%16.4–21.612.7%12%Worse
High blood pressure41.3%36.9–4633.1%34.4%Worse
High cholesterol (adults screened in 5 years)41.3%36.7–46.235.1%37.1%Worse
Arthritis28.8%25.3–32.521.6%25.3%Worse
Asthma9.4%8.3–10.79.5%9.9%About the same
Cancer, other than skin cancer7.9%7.1–8.76.1%7.9%Worse
Coronary heart disease9%7.9–10.25.6%6.4%Worse
COPD8.4%7–105.7%6.3%Worse
Stroke4.7%4.1–5.33.2%3.4%Worse
Lost all teeth (ages 65+)19.8%16.4–23.512.5%12.3%Worse
Habits
Smoke cigarettes14.7%12–17.712.5%11.8%About the same
No exercise outside work36.5%30.5–42.427.8%24.7%Worse
Binge drinking14.3%11.6–17.217%15.4%About the same
Sleep under 7 hours36%29.1–43.638.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)24.8%19.8–29.719.1%11%Worse
Checkup in the past year76.3%72.5–8073.8%77.4%About the same
Dentist visit in the past year51.9%48.1–55.654.6%63.2%About the same
Cholesterol check in 5 years86.1%83.8–88.384.6%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)79.8%77–82.474.1%76.5%Better
Colorectal cancer screening (ages 45–75)57.5%51.9–6357.9%65.5%About the same
Mammogram in 2 years (women 50–74)69.2%60.5–77.274.1%76.4%About the same
Mind and connection
Ever told they have depression20.8%17.5–24.621.2%20.6%About the same
Lack social and emotional support28.3%24.5–32.128.4%23.6%About the same
Everyday needs
Worried about having enough food23.8%21.5–25.919.3%15%Worse
Worried about keeping housing17.5%15.5–19.416.4%12%About the same
Threatened with a utility shut-off11.2%9.8–12.510.7%7.6%About the same
Lack reliable transportation11.9%10.7–1310.5%7.9%Worse
Received SNAP (food stamps)18.5%16.5–20.314.6%11.6%Higher
Disability
Any disability39.4%34–44.930.9%30.1%Higher
Difficulty walking or climbing stairs21.8%18.5–25.214%13.6%Higher
Difficulty concentrating or remembering16.6%14.2–19.215.1%13.9%About the same
Hearing difficulty10%8.7–11.36.3%6.7%Higher
Vision difficulty9.4%8.1–116.1%5.4%Higher
Difficulty doing errands alone10.6%9–12.48.2%7.9%Higher
Difficulty dressing or bathing6.3%5.3–7.34%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 Texas figure falls inside that range.

Questions about health in Marfa

Is Marfa a healthy place to live?

On seven CDC estimates for adults, Marfa is healthier than 18% of U.S. towns: ≈ C− for health. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Marfa?

CDC estimates 39.8% of adults have obesity, likely between 30.9% and 49.3%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Marfa?

Big Bend Regional Medical Center in Alpine, 21.7 miles in a straight line from Marfa’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Marfa have no health insurance?

CDC estimates 24.8% of adults ages 18–64 have no health insurance (likely 19.8–29.7%), 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 Marfa 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 Marfa.

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.