No one is saying that the mortality differences is simply because of the health care availability alone, but it is a factor. Its not like we are finishing 3rd or 4th in mortality statistics. We are finishing 28th and 4th from the bottom in infant mortality. Infant mortality is directly affected by perinatal care which we appear to be lackig in.
Terrible stat to rely on - we report as "infant death" any baby, of any gestational age or size, that dies after exhibiting signs of life (heartbeat, pulse, breathing). Other states do not report as "infant death" babies that die after being born prematurely, babies that die after being born exceedingly small, or babies that are born with a heartbeat but never breathe.