For overall health care, South Carolina is ranked 33rd out of the 50 states, according to the Commonwealth Fund, a private health foundation working to improve the health care system. The state’s teen birth rate was 53 births per 1000 teens, compared to the average of 41.9 births for the US, according to the Kaiser Family Foundation. The state’s infant mortality rate was 9.4 deaths per 1000 births compared to the US average of 6.9 deaths. There were 2.6 physicians per 1000 people compared to the US average of 3.2 physicians. There was $5114 spent on health expenses per capita in the state, compared to the US average of $5283. There were 26 percent of children and 13 percent of elderly living in poverty in the state, compared to 23 percent and 13 percent, respectively, doing so in the US. And, 34 percent of children were overweight or obese, compared to the US average of 32 percent.