Manitowoc County has been ranked 49th among all 72 state counties in the  Robert Wood Johnson Foundation’s rankings for health care. Ozaukee County was ranked the best county for health care, while Menomonee County was ranked  the worst. Other area counties fared much better than Manitowoc, with Kewaunee and Calumet Counties coming in at number 8 and 9 respectively, and Sheboygan County ranking number 26th.  Several factors are used to decide the rankings, including length of life, quality of life, and clinical care, among others.