In relation to public health issues, which are my focus, the worst states are red states. For example, the infant mortality rates[1] in many red states are comparable to those in developing nations, which is almost funny given that the leaders of these states constantly market themselves as being "pro-life". The residents of red states should consider taking some of the money they allocate to football and redirecting it to keeping their babies alive.
[1] https://www.kff.org/other/state-indicator/infant-death-rate/