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5. West Virginia has the worst health care in the nation

Not only does West Virginia tie with Kentucky for the lowest life expectancy, but it also has the 14th highest poverty rate and one of the lowest median incomes for those 65 years of age and older. While it ranks 19th in affordability due to its low property taxes and cost of living, the Mountain State drops to 40th in overall quality of life. West Virginia struggles with its infrastructure, including internet access, transportation, and energy.

west virginia infrastructure poverty tracks WilliamSherman / Getty Images

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