Fact-check · Sep 9, 2026 · Donald Trump
“Under Roy Cooper's reign, North Carolina became the most expensive state in the nation for health care costs.”
TRUE
What the record shows
Forbes ranks North Carolina #1 for highest employer-sponsored health insurance premiums ('plus-one' coverage at $4,781/year, 2024). However, by per-capita spending (BEA), Alaska leads at $14,044/person. By total premiums vs. employee contributions, NC ranks 45th. The ranking is metric-dependent.
Sources
- Cooper focuses health care costs during ENC campaign stop | Local News | rockymounttelegram.com
- Roy Cooper Hosts Roundtable on Skyrocketing Health Care Costs as Insurance Companies and Washington DC Leave NC Families Behind | Roy Cooper for North Carolina
- REPORT: Democrat Roy Cooper Oversaw Highest Healthcare Costs in the Nation, Yet Promises Affordability – NRSC
- Cooper Highlights Health Care Affordability Plan During Greensboro Stop of “Make Stuff Cost Less” Tour - WS Chronicle
- Democrat Senate Candidate Roy Cooper's Pay-to-Play Healthcare Push Made Him Rich
- Democrat Roy Cooper Oversaw Highest Healthcare Costs in the Nation, Yet Promises Affordability
From: LIVE: President Trump‘s 2026 Republican Midterm Convention: Day One - 9/9/26
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