Despite the Unites States having the largest national expenditures on health care in the world, Israel outranks the U.S. in infant health outcomes. In the past 20 years. Israel's neonatal health outcomes have improved rapidly in part by providing universal access to care to all citizens. Israel is not without its maternal health challenges, although the state of Georgia has a weak maternal health infrastructure, a high number of uninsured women, and infant health outcomes poorer than the U.S. aggregate mean. Georgia provides less equitable healthcare to women and as a result has stark neonatal differences between populations.