The other ledger for Missouri: 1,460 high-hazard dams in a state whose safety law stops at dams under 35 feet tall, a 127,678-home deficit for the poorest renters, ten rural hospitals already closed with twelve more at immediate risk, and 204,366 places still waiting for broadband despite the third-largest federal allocation in the country. Every figure is sourced, dated, and labeled — counted, modeled, or assessed.
How to read this page: the class chip on every measure is the honesty label. Counted = an inspection or enumeration record. Modeled = a study's projection or risk score — printed with the modeler's name. Assessed = a structured survey of required investment — needs as documented, not measurements of decay. Figures keep the form their source gave them; years are printed on every measure.
Click any category to expand it — every measure with its figure, what it means in plain language, and its source.
Nine categories, 19 measures. Missouri's needs are dominated by inventory problems: more than 5,000 dams (1,460 of them high-hazard) against a safety law that only reaches dams 35 feet or taller; 58 rural hospitals, of which 10 sister facilities have closed or converted since 2010 and 12 more screen at immediate risk; and 204,366 broadband locations still unserved or underserved against a $1.736B federal allocation — the third-largest in the nation.
Where sources disagree, both are printed and neither is averaged away. Two rural-hospital risk screens give different answers for Missouri — CHQPR's financial screen flags 12 hospitals at immediate risk (29 at risk overall), while the Sheps Center's narrower 2025 Senate-requested screen, built on Medicaid share and negative margins, flagged 4. The dams category prints no poor-condition count because none is verifiably published for a fleet that is mostly uninspected by law. The wastewater need ($9.6B) rests on a 2012-based state assessment carried in ASCE's reporting; its vintage is disclosed on the measure rather than refreshed cosmetically.
Metro and utility figures are labeled as what they are: the traffic numbers are TTI's for the full bi-state Kansas City and St. Louis urban areas (INRIX's published 2025 table covers only its top 25 U.S. metros, which include neither), and the power numbers are Ameren Missouri's own filed 2026 plan — a nonbinding utility forecast covering about 1.3 million customers, not a state finding of shortage. The food category runs on Feeding America's food-insecurity estimates; no verified statewide USDA low-access tract count was published in the sources reviewed, so no food-desert resident count is printed.