The Sunshine State isn't faring great when it comes to a new health report card. Florida ranks in 44th place on a new Commonwealth Fund health report analyzing 47 measures including access and affordability. Spokesman David Radley says you can blame our sky-high insurance rates, leaving 1 in 5 working adults without insurance. He says because Florida is a high-cost living state those with insurance don't always use it. He says lots of people have trouble accessing health care since Florida is one of 17 states that did not expand Medicaid.