Ouch: Indiana doesn't do so well in an assessment of emergency medical care by the American College of Emergency Physicians. The state gets a grade of D+ and a ranking of 44th in the nation. The group is a tough grader, though; there were only a handful of B's, and I didn't see a single A on the national map. All the states adjacent to us had something in the C range, except Michigan, which had a B-. The national score is C-.