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Oliphant HouseOliphant House · Photo: Renelibrary · CC BY-SA 4.0
≈ CHealth Grade
Health in Milam · CDC PLACES 2025

Among U.S. towns with similar household incomes, Milam is healthier than 60%

Milam differs from Texas on 21 of 31 measures CDC estimates: 10 better, 11 worse.

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

What stands out · In brief

What stands out about health in Milam

Cancer, COPD and heart disease run high in Milam

1 in 8 adults have had cancer (12.3%), about twice the Texas rate. 1 in 9 adults have COPD (11.3%), about twice the Texas rate. Heart disease is also above the state: 10.8%, vs 5.6% across Texas. In all, Milam runs above Texas on eight of 11 chronic conditions. Age is part of it: 43% of residents are 65 or older (Texas 13%), and cancer, COPD and heart disease are more common later in life. Conditions ↓

Milam is healthier than its income would predict

Against all U.S. towns, Milam is healthier than 27%. Against the 6,059 towns with similar household incomes ($38K–$63K), it’s healthier than 60%. Health Grade ↓

Milam is short on every kind of care federal data tracks

Milam’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 high blood pressure in Milam, and more people treating it

47.1% of adults have high blood pressure (Texas 33.1%), but 83.6% of them take medicine for it, vs 74.1% statewide. Checkups ↓

Milam keeps up with checkups

It beats Texas on three of five routine checkups and screenings, including yearly checkups (80.1% vs 73.8%) and cholesterol checks (89.5% vs 84.6%). 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 Texas figure falls outside Milam’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B.

Health Grade

What’s behind Milam’s grade

On seven CDC estimates for adults, Milam is healthier than 27% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 68% of U.S. towns); diabetes pulls it down (better than 7%).

C−Self-rated health25.2% · TX 21.8% · U.S. 19.4%
DPhysical distress17% · TX 13.2% · U.S. 13%
B+Mental distress16% · TX 16.9% · U.S. 15.9%
BObesity35.1% · TX 35.6% · U.S. 32.9%
DDiabetes16.8% · TX 12.7% · U.S. 12%
C+Smoking15.9% smoke · TX 12.5% · U.S. 11.8%
C−Exercise30.7% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 27%
Less healthyHealthier
U.S. towns with similar incomes, $38K–$63K (6,059)Healthier than 60%

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). Milam’s median household income is $50,781; among the 6,059 U.S. towns within 25% of that ($38K–$63K), it’s healthier than 60%, more than its income alone would suggest.

Where Milam compares well: cholesterol check in 5 years, 89.5% (U.S. 87.1%); taking blood pressure medicine (adults with high blood pressure), 83.6% (U.S. 76.5%).

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Milam adults…

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

12 of every 100 Milam adults have had cancer
Texas: 6 in 100 · worse · likely 11.1–13.6%
Better than TXWorseAbout the sameTexas
Why age matters here

Milam is an older town: 43% 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 Milam as about how healthy they are.

Residents 65 and older

Milam43%
Texas13%
Getting care

Care in and near Milam

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

HNearest ERSabine County HospitalHemphill · 6.3 miDirections →
+Low-cost careHealth Opportunities for the People of East TexasSan Augustine · 19.5 mi · sliding-scale feesDirections →
6.3 mi
Sabine County Hospital
Hemphill · not rated
ERRural critical access
19.5 mi
Health Opportunities for the People of East Texas
3 sites · nearest in San Augustine
Sliding-scale fees
Directions to nearest
19.7 mi
CHI St. Lukes Health Memorial San Augustine
San Augustine · not rated
ER
20 mi
Sabine Medical Center
Many · not rated
ER
20.3 mi
Iberia Comprehensive Community Health Center
2 sites · nearest in Many
Sliding-scale fees
Directions to nearest
37.3 mi
Byrd Regional Hospital
Leesville · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Milam itself
✓ Dental careNo HRSA shortage area covers Milam itself
✓ Mental healthNo HRSA shortage area covers Milam 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 Milam; ≈ 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).

Checkups & screenings

Keeping up with care

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

80%Yearly checkupTX 74%
51%Dentist visitTX 55%
90%Cholesterol checkTX 85%
64%Colon screeningTX 58%
71%MammogramTX 74%
84%Taking BP medsTX 74%
1 in 9
working-age adults has no health insurance
Milam 11.5% · Texas 1 in 5 (19.1%)
Habits

Everyday habits, side by side with Texas

Share of adults, with the Texas figure marked.

Get no exercise 30.7%TX 27.8%
Sleep under 7 hours 36.4%TX 38.2%
Binge drink 13.2%TX 17%
Smoke cigarettes 15.9%TX 12.5%
0%10%20%30%40%
Milam, betterMilam, worseAbout the sameTexas
Where Milam gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Milam adults are doing

About the same as Texas on each measure.

1 in 4Milam adults lack social or emotional support
25.5% · TX 28.4% · About the same as TX
1 in 4Milam adults have been diagnosed with depression
22.8% · TX 21.2% · About the same as TX
1 in 6Milam adults are in frequent mental distress
16% · 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 6
Milam adults worry about having enough food
15.9% · TX 19.3%
Better than TX
1 in 9
Milam adults worry about keeping their housing
11.5% · TX 16.4%
Better than TX
1 in 12
Milam adults were threatened with a utility shut-off
8.4% · TX 10.7%
Better than TX
1 in 12
Milam adults lack reliable transportation
8.5% · TX 10.5%
Better than TX

14.1% of Milam adults receive SNAP (food stamps), compared with 14.6% across Texas.

Around town

Milam and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
MilamC35.1%16.8%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.

39.1%

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

Walking or climbing stairs21.9%
Thinking or memory14.9%
Hearing11.6%
Errands alone10.4%
Vision6.7%
Dressing or bathing5.4%
Texas

Every CDC estimate for Milam

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

On the 31 measures below that have a better and a worse direction, Milam is better than Texas on 10 and worse on 11; on the rest, the Texas figure falls inside Milam’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MilamTXU.S.vs TX
Overall health
Fair or poor health25.2%21.4–29.421.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)17%14.8–19.813.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)16%14–18.216.9%15.9%About the same
Conditions
Obesity35.1%27.1–44.235.6%32.9%About the same
Diabetes16.8%14.5–19.512.7%12%Worse
High blood pressure47.1%42.4–52.233.1%34.4%Worse
High cholesterol (adults screened in 5 years)44.4%39.6–49.535.1%37.1%Worse
Arthritis36.8%32.8–41.121.6%25.3%Worse
Asthma10.5%9.3–11.99.5%9.9%About the same
Cancer, other than skin cancer12.3%11.1–13.66.1%7.9%Worse
Coronary heart disease10.8%9.4–12.25.6%6.4%Worse
COPD11.3%9.4–13.45.7%6.3%Worse
Stroke5.5%4.8–6.23.2%3.4%Worse
Lost all teeth (ages 65+)20.6%17.2–24.512.5%12.3%Worse
Habits
Smoke cigarettes15.9%12.9–19.212.5%11.8%Worse
No exercise outside work30.7%25.4–36.627.8%24.7%About the same
Binge drinking13.2%10.8–15.917%15.4%Better
Sleep under 7 hours36.4%29.9–4438.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)11.5%9.2–14.219.1%11%Better
Checkup in the past year80.1%76.8–83.273.8%77.4%Better
Dentist visit in the past year51%47.3–5554.6%63.2%About the same
Cholesterol check in 5 years89.5%87.9–90.884.6%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)83.6%81–8674.1%76.5%Better
Colorectal cancer screening (ages 45–75)63.5%58.2–6957.9%65.5%Better
Mammogram in 2 years (women 50–74)71.2%63–79.274.1%76.4%About the same
Mind and connection
Ever told they have depression22.8%19.4–26.821.2%20.6%About the same
Lack social and emotional support25.5%22.3–29.428.4%23.6%About the same
Everyday needs
Worried about having enough food15.9%14.4–17.919.3%15%Better
Worried about keeping housing11.5%10.2–1316.4%12%Better
Threatened with a utility shut-off8.4%7.5–9.510.7%7.6%Better
Lack reliable transportation8.5%7.8–9.410.5%7.9%Better
Received SNAP (food stamps)14.1%12.7–1614.6%11.6%About the same
Disability
Any disability39.1%34–44.930.9%30.1%Higher
Difficulty walking or climbing stairs21.9%18.6–25.614%13.6%Higher
Difficulty concentrating or remembering14.9%12.8–17.315.1%13.9%About the same
Hearing difficulty11.6%10.1–13.16.3%6.7%Higher
Vision difficulty6.7%5.7–7.76.1%5.4%About the same
Difficulty doing errands alone10.4%8.8–12.18.2%7.9%Higher
Difficulty dressing or bathing5.4%4.6–6.34%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 Milam

Is Milam a healthy place to live?

On seven CDC estimates for adults, Milam is healthier than 27% 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 Milam?

CDC estimates 35.1% of adults have obesity, likely between 27.1% and 44.2%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Milam?

Sabine County Hospital in Hemphill, 6.3 miles in a straight line from Milam’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Milam have no health insurance?

CDC estimates 11.5% of adults ages 18–64 have no health insurance (likely 9.2–14.2%), 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 Milam 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 Milam.

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.