There are a couple of ways to look at a poor report card. One is to consider it a sign of failure and throw in the towel. The other is to take it as a challenge to roll up your sleeves, get to work and try to post better scores the next time.

The bottom 10 states in the 2017 Best States for Children's Health Care study, conducted by WalletHub know what they need to do. Many of these states are in the Midwest and South.

"Different authorities have reported state rankings for children's health care over time to help families make informed choices and to advocate for expanded access to quality health care," Melissa D. Carter, clinical professor of law at Emory University, told WalletHub. "Indicators commonly include indicators such as the quality of treatment and access to physicians, including the availability of pediatric specialties, as well as cost efficiencies. The existence of children's health insurance programs is often highlighted as a key factor distinguishing high-performing states from low-performing states."