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This is one of those scenarios where it may be better to look at fiber detail
You can go down a list of stats related to quality of life, and see similarly large ranges by state, and the ones on the low end correlate strongly with people who voted Republican. These are poorer people with worse education, worse health, much less income, voting for disrupting the status quo without understanding what that means
The leading cause of death is the same. The leading cause of death of poor Republicans is the same as that of wealthy cardiologists: preventable forms of heart disease. There is so much toxic masculinity and superstition about food in the USA, even people who know better conform to the cultural norms, and kill themselves with unhealthy food.