In every U.S. state, a disturbingly high percentage of people face the impossible choice of foregoing or rationing medications so they can afford other basic needs. This pattern is consistent year over year, with an average of 29% of people across the country forced to make this choice in a given year. Below we lay out the stark numbers. In almost every state, at least one in five people skips or alters a doctor’s orders for financial reasons. In 32 states, that number is at least one in four, and in 15 states it’s at least one in three.