Nationwide, based on 274 regions, some of the cities in upstate New York have the most affordable healthcare according to a recent report put out by the Niagara Quality Health Coalition. Rochester came in fourth and Syracuse 19^th. Conversely, Santa Cruz was the most expensive.

In addition, New York comes in at number four nationwide for encouraging the most people to sign up for coverage under the individual health insurance market. Indeed, just last year the city of New York worked heard in an attempt to fulfill one of the key goals of the Affordable Care Act.