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Healthcare in New Hampshire

New Hampshire's healthcare system is anchored by Dartmouth-Hitchcock Medical Center in Lebanon, the state's only academic medical center and a major referral center for northern New England. With approximately 4,300 active physicians and a rate of 311 per 100,000, the state has an above-average physician density. The Geisel School of Medicine at Dartmouth produces physicians trained with an emphasis on rural and community medicine. Southern New Hampshire benefits from proximity to Boston's medical ecosystem, with many residents crossing into Massachusetts for specialty care. Manchester, the state's largest city, and Concord serve as the primary healthcare hubs for the southern part of the state. Northern New Hampshire and the White Mountains region face access challenges common to rural New England, with limited providers and long travel distances. The state does not have a broad-based income or sales tax, which affects public health funding mechanisms. New Hampshire expanded Medicaid through a managed care model, extending coverage to approximately 50,000 residents. The opioid crisis has hit New Hampshire particularly hard, driving significant investment in addiction treatment infrastructure and behavioral health services. Community health centers serve as essential safety-net providers across the state, particularly in underserved areas.