Risk Factors

A healthier America depends on numerous factors, including making changes in lifestyle and health-related behavior and treatments. The risk factor categories below show the baseline projected data for each category and the projected data to achieve the optimistic course in the study.

Obesity Smoking Alcohol Overweight Physical Activity Cholesterol Air Quality Illicit Drug Use

Smoking

Represents the "at risk" percentage of total population who smoke. "At risk" refers to smoking at least 100 cigarettes in a lifetime and still smoke.

1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023

United States Baseline 27.70% 27.70% 26.70% 24.75% 24.78% 24.34% 23.54% 23.13% 22.47% 22.70% 22.75% 22.25% 23.33% 22.94% 22.83% 22.49% 22.22% 22.73% 22.56% 22.16% 21.80% 21.40% 21.10% 20.80% 20.50% 20.22% 19.95% 19.70% 19.60% 19.50% 19.40% 19.30% 19.25% 19.20% 19.15% 19.10% 19.05% 19.01% 18.98% 18.98%

Optimistic 27.70% 27.70% 26.70% 24.75% 24.78% 24.34% 23.54% 23.13% 22.47% 22.70% 22.75% 22.25% 23.33% 22.94% 22.83% 22.49% 22.22% 22.73% 22.56% 22.16% 21.80% 21.40% 21.00% 20.60% 20.20% 19.80% 19.35% 18.80% 18.30% 17.90% 17.55% 17.20% 16.85% 16.55% 16.25% 15.95% 15.70% 15.60% 15.50% 15.40%

Alabama Baseline 29.03% 29.02% 27.97% 25.94% 25.96% 25.51% 24.67% 24.24% 23.55% 23.79% 23.84% 23.32% 24.45% 24.04% 23.92% 23.56% 23.29% 23.82% 24.36% 25.34% 24.92% 24.46% 24.12% 23.78% 23.43% 23.11% 22.80% 22.52% 22.40% 22.29% 22.18% 22.06% 22.00% 21.95% 21.89% 21.83% 21.78% 21.73% 21.70% 21.70%

Optimistic 29.03% 29.02% 27.97% 25.94% 25.96% 25.51% 24.67% 24.24% 23.55% 23.79% 23.84% 23.32% 24.45% 24.04% 23.92% 23.56% 23.29% 23.82% 24.36% 25.34% 24.92% 24.46% 24.00% 23.55% 23.09% 22.63% 22.12% 21.49% 20.92% 20.46% 20.06% 19.66% 19.26% 18.92% 18.58% 18.23% 17.95% 17.83% 17.72% 17.60%

Alaska Baseline 31.89% 31.88% 30.74% 28.50% 28.53% 28.03% 27.11% 26.63% 25.87% 26.14% 26.19% 25.62% 26.86% 26.42% 26.29% 25.89% 25.59% 26.17% 29.35% 26.25% 25.81% 25.34% 24.99% 24.63% 24.27% 23.94% 23.62% 23.33% 23.21% 23.09% 22.97% 22.85% 22.79% 22.74% 22.68% 22.62% 22.56% 22.51% 22.47% 22.47%

Optimistic 31.89% 31.88% 30.74% 28.50% 28.53% 28.03% 27.11% 26.63% 25.87% 26.14% 26.19% 25.62% 26.86% 26.42% 26.29% 25.89% 25.59% 26.17% 29.35% 26.25% 25.81% 25.34% 24.87% 24.39% 23.92% 23.45% 22.91% 22.26% 21.67% 21.20% 20.78% 20.37% 19.95% 19.60% 19.24% 18.89% 18.59% 18.47% 18.35% 18.24%

Arizona Baseline 26.26% 26.25% 25.31% 23.47% 23.49% 23.08% 22.32% 21.93% 21.30% 21.52% 21.57% 21.10% 22.12% 21.75% 21.64% 21.32% 21.07% 21.55% 23.40% 20.82% 20.48% 20.10% 19.82% 19.54% 19.26% 18.99% 18.74% 18.51% 18.41% 18.32% 18.22% 18.13% 18.08% 18.04% 17.99% 17.94% 17.90% 17.86% 17.83% 17.83%

Optimistic 26.26% 26.25% 25.31% 23.47% 23.49% 23.08% 22.32% 21.93% 21.30% 21.52% 21.57% 21.10% 22.12% 21.75% 21.64% 21.32% 21.07% 21.55% 23.40% 20.82% 20.48% 20.10% 19.73% 19.35% 18.98% 18.60% 18.18% 17.66% 17.19% 16.82% 16.49% 16.16% 15.83% 15.55% 15.27% 14.98% 14.75% 14.65% 14.56% 14.47%

Arkansas Baseline 31.13% 31.12% 30.00% 27.81% 27.84% 27.35% 26.45% 25.99% 25.25% 25.51% 25.56% 25.01% 26.22% 25.78% 25.65% 25.27% 24.97% 25.54% 26.31% 24.77% 24.36% 23.91% 23.58% 23.24% 22.91% 22.59% 22.29% 22.01% 21.90% 21.79% 21.68% 21.57% 21.51% 21.45% 21.40% 21.34% 21.29% 21.24% 21.21% 21.21%

Optimistic 31.13% 31.12% 30.00% 27.81% 27.84% 27.35% 26.45% 25.99% 25.25% 25.51% 25.56% 25.01% 26.22% 25.78% 25.65% 25.27% 24.97% 25.54% 26.31% 24.77% 24.36% 23.91% 23.47% 23.02% 22.57% 22.12% 21.62% 21.01% 20.45% 20.00% 19.61% 19.22% 18.83% 18.49% 18.16% 17.82% 17.54% 17.43% 17.32% 17.21%

California Baseline 21.01% 21.00% 20.25% 18.77% 18.79% 18.46% 17.85% 17.54% 17.04% 17.22% 17.25% 16.88% 17.69% 17.40% 17.31% 17.05% 16.85% 17.24% 16.43% 16.81% 16.54% 16.23% 16.00% 15.78% 15.55% 15.34% 15.13% 14.94% 14.87% 14.79% 14.72% 14.64% 14.60% 14.56% 14.53% 14.49% 14.45% 14.42% 14.40% 14.40%

Optimistic 21.01% 21.00% 20.25% 18.77% 18.79% 18.46% 17.85% 17.54% 17.04% 17.22% 17.25% 16.88% 17.69% 17.40% 17.31% 17.05% 16.85% 17.24% 16.43% 16.81% 16.54% 16.23% 15.93% 15.63% 15.32% 15.02% 14.68% 14.26% 13.88% 13.58% 13.31% 13.05% 12.78% 12.55% 12.33% 12.10% 11.91% 11.83% 11.76% 11.68%

Colorado Baseline 27.19% 27.18% 26.20% 24.29% 24.32% 23.89% 23.11% 22.70% 22.06% 22.28% 22.33% 21.84% 22.90% 22.52% 22.41% 22.07% 21.81% 22.31% 20.39% 18.57% 18.27% 17.93% 17.68% 17.43% 17.18% 16.94% 16.72% 16.51% 16.42% 16.34% 16.25% 16.17% 16.13% 16.09% 16.05% 16.00% 15.96% 15.93% 15.90% 15.90%

Optimistic 27.19% 27.18% 26.20% 24.29% 24.32% 23.89% 23.11% 22.70% 22.06% 22.28% 22.33% 21.84% 22.90% 22.52% 22.41% 22.07% 21.81% 22.31% 20.39% 18.57% 18.27% 17.93% 17.60% 17.26% 16.92% 16.59% 16.21% 15.75% 15.33% 15.00% 14.70% 14.41% 14.12% 13.87% 13.62% 13.36% 13.15% 13.07% 12.99% 12.90%

Connecticut Baseline 25.14% 25.13% 24.23% 22.47% 22.49% 22.09% 21.37% 20.99% 20.40% 20.60% 20.65% 20.20% 21.17% 20.82% 20.72% 20.41% 20.17% 20.63% 19.42% 18.61% 18.31% 17.97% 17.72% 17.47% 17.22% 16.98% 16.75% 16.54% 16.46% 16.38% 16.29% 16.21% 16.17% 16.13% 16.08% 16.04% 16.00% 15.97% 15.94% 15.94%

Optimistic 25.14% 25.13% 24.23% 22.47% 22.49% 22.09% 21.37% 20.99% 20.40% 20.60% 20.65% 20.20% 21.17% 20.82% 20.72% 20.41% 20.17% 20.63% 19.42% 18.61% 18.31% 17.97% 17.64% 17.30% 16.96% 16.63% 16.25% 15.79% 15.37% 15.03% 14.74% 14.45% 14.15% 13.90% 13.65% 13.40% 13.19% 13.10% 13.02% 12.93%

Delaware Baseline 30.52% 30.51% 29.42% 27.27% 27.30% 26.82% 25.94% 25.49% 24.76% 25.01% 25.07% 24.52% 25.71% 25.28% 25.15% 24.77% 24.49% 25.04% 24.69% 21.91% 21.55% 21.16% 20.86% 20.56% 20.27% 19.99% 19.72% 19.48% 19.38% 19.28% 19.18% 19.08% 19.03% 18.98% 18.93% 18.88% 18.83% 18.79% 18.76% 18.76%

Optimistic 30.52% 30.51% 29.42% 27.27% 27.30% 26.82% 25.94% 25.49% 24.76% 25.01% 25.07% 24.52% 25.71% 25.28% 25.15% 24.77% 24.49% 25.04% 24.69% 21.91% 21.55% 21.16% 20.76% 20.37% 19.97% 19.58% 19.13% 18.59% 18.09% 17.70% 17.35% 17.00% 16.66% 16.36% 16.07% 15.77% 15.52% 15.42% 15.32% 15.23%

District of Columbia Baseline 25.32% 25.31% 24.40% 22.63% 22.65% 22.25% 21.52% 21.14% 20.54% 20.75% 20.80% 20.34% 21.33% 20.97% 20.87% 20.55% 20.31% 20.78% 20.39% 22.03% 21.67% 21.27% 20.97% 20.67% 20.38% 20.10% 19.83% 19.58% 19.48% 19.38% 19.28% 19.18% 19.13% 19.08% 19.03% 18.98% 18.93% 18.90% 18.87% 18.87%

Optimistic 25.32% 25.31% 24.40% 22.63% 22.65% 22.25% 21.52% 21.14% 20.54% 20.75% 20.80% 20.34% 21.33% 20.97% 20.87% 20.55% 20.31% 20.78% 20.39% 22.03% 21.67% 21.27% 20.87% 20.48% 20.08% 19.68% 19.23% 18.69% 18.19% 17.79% 17.44% 17.10% 16.75% 16.45% 16.15% 15.85% 15.61% 15.51% 15.41% 15.31%

Florida Baseline 27.28% 27.27% 26.29% 24.38% 24.40% 23.97% 23.18% 22.78% 22.13% 22.36% 22.40% 21.91% 22.98% 22.59% 22.48% 22.14% 21.89% 22.38% 22.02% 23.91% 23.52% 23.09% 22.76% 22.44% 22.11% 21.81% 21.52% 21.25% 21.14% 21.04% 20.93% 20.82% 20.77% 20.71% 20.66% 20.60% 20.55% 20.51% 20.47% 20.47%

Optimistic 27.28% 27.27% 26.29% 24.38% 24.40% 23.97% 23.18% 22.78% 22.13% 22.36% 22.40% 21.91% 22.98% 22.59% 22.48% 22.14% 21.89% 22.38% 22.02% 23.91% 23.52% 23.09% 22.65% 22.22% 21.79% 21.36% 20.87% 20.28% 19.74% 19.31% 18.93% 18.55% 18.18% 17.85% 17.53% 17.21% 16.94% 16.83% 16.72% 16.61%

Georgia Baseline 28.87% 28.86% 27.83% 25.80% 25.82% 25.37% 24.54% 24.11% 23.42% 23.66% 23.71% 23.19% 24.32% 23.91% 23.80% 23.44% 23.16% 23.69% 23.24% 22.76% 22.38% 21.97% 21.66% 21.36% 21.05% 20.76% 20.48% 20.23% 20.12% 20.02% 19.92% 19.81% 19.76% 19.71% 19.66% 19.61% 19.56% 19.52% 19.49% 19.49%

Optimistic 28.87% 28.86% 27.83% 25.80% 25.82% 25.37% 24.54% 24.11% 23.42% 23.66% 23.71% 23.19% 24.32% 23.91% 23.80% 23.44% 23.16% 23.69% 23.24% 22.76% 22.38% 21.97% 21.56% 21.15% 20.74% 20.33% 19.87% 19.30% 18.79% 18.38% 18.02% 17.66% 17.30% 16.99% 16.68% 16.38% 16.12% 16.02% 15.91% 15.81%

Hawaii Baseline 24.99% 24.98% 24.09% 22.33% 22.35% 21.96% 21.24% 20.87% 20.27% 20.48% 20.52% 20.08% 21.05% 20.70% 20.60% 20.28% 20.05% 20.50% 21.01% 17.23% 16.95% 16.64% 16.41% 16.17% 15.94% 15.72% 15.51% 15.32% 15.24% 15.16% 15.08% 15.01% 14.97% 14.93% 14.89% 14.85% 14.81% 14.78% 14.76% 14.76%

Optimistic 24.99% 24.98% 24.09% 22.33% 22.35% 21.96% 21.24% 20.87% 20.27% 20.48% 20.52% 20.08% 21.05% 20.70% 20.60% 20.28% 20.05% 20.50% 21.01% 17.23% 16.95% 16.64% 16.33% 16.02% 15.71% 15.39% 15.04% 14.62% 14.23% 13.92% 13.65% 13.37% 13.10% 12.87% 12.63% 12.40% 12.21% 12.13% 12.05% 11.97%

Idaho Baseline 23.88% 23.87% 23.02% 21.34% 21.36% 20.98% 20.30% 19.94% 19.37% 19.57% 19.61% 19.18% 20.11% 19.78% 19.68% 19.38% 19.16% 19.59% 20.57% 18.96% 18.64% 18.30% 18.04% 17.79% 17.53% 17.29% 17.06% 16.85% 16.76% 16.68% 16.59% 16.51% 16.46% 16.42% 16.38% 16.33% 16.29% 16.26% 16.23% 16.23%

Optimistic 23.88% 23.87% 23.02% 21.34% 21.36% 20.98% 20.30% 19.94% 19.37% 19.57% 19.61% 19.18% 20.11% 19.78% 19.68% 19.38% 19.16% 19.59% 20.57% 18.96% 18.64% 18.30% 17.96% 17.62% 17.28% 16.93% 16.55% 16.08% 15.65% 15.31% 15.01% 14.71% 14.41% 14.15% 13.90% 13.64% 13.43% 13.34% 13.26% 13.17%

Illinois Baseline 28.91% 28.90% 27.86% 25.83% 25.85% 25.40% 24.57% 24.14% 23.45% 23.69% 23.74% 23.22% 24.35% 23.94% 23.82% 23.46% 23.19% 23.72% 22.81% 23.41% 23.02% 22.60% 22.28% 21.97% 21.65% 21.35% 21.07% 20.80% 20.70% 20.59% 20.49% 20.38% 20.33% 20.28% 20.22% 20.17% 20.12% 20.08% 20.04% 20.04%

Optimistic 28.91% 28.90% 27.86% 25.83% 25.85% 25.40% 24.57% 24.14% 23.45% 23.69% 23.74% 23.22% 24.35% 23.94% 23.82% 23.46% 23.19% 23.72% 22.81% 23.41% 23.02% 22.60% 22.18% 21.75% 21.33% 20.91% 20.43% 19.85% 19.33% 18.90% 18.53% 18.16% 17.79% 17.48% 17.16% 16.84% 16.58% 16.47% 16.37% 16.26%

Indiana Baseline 33.40% 33.39% 32.19% 29.85% 29.88% 29.35% 28.39% 27.89% 27.10% 27.37% 27.43% 26.83% 28.13% 27.67% 27.53% 27.11% 26.80% 27.41% 27.65% 26.09% 25.66% 25.19% 24.84% 24.48% 24.13% 23.80% 23.48% 23.19% 23.07% 22.95% 22.84% 22.72% 22.66% 22.60% 22.54% 22.48% 22.42% 22.38% 22.34% 22.34%

Optimistic 33.40% 33.39% 32.19% 29.85% 29.88% 29.35% 28.39% 27.89% 27.10% 27.37% 27.43% 26.83% 28.13% 27.67% 27.53% 27.11% 26.80% 27.41% 27.65% 26.09% 25.66% 25.19% 24.72% 24.25% 23.78% 23.31% 22.78% 22.13% 21.54% 21.07% 20.66% 20.25% 19.83% 19.48% 19.13% 18.77% 18.48% 18.36% 18.25% 18.13%

Iowa Baseline 26.99% 26.98% 26.01% 24.12% 24.14% 23.72% 22.94% 22.54% 21.89% 22.12% 22.17% 21.68% 22.73% 22.35% 22.24% 21.91% 21.65% 22.14% 23.16% 21.66% 21.30% 20.91% 20.62% 20.33% 20.03% 19.76% 19.49% 19.25% 19.15% 19.06% 18.96% 18.86% 18.81% 18.76% 18.71% 18.66% 18.62% 18.58% 18.55% 18.55%

Optimistic 26.99% 26.98% 26.01% 24.12% 24.14% 23.72% 22.94% 22.54% 21.89% 22.12% 22.17% 21.68% 22.73% 22.35% 22.24% 21.91% 21.65% 22.14% 23.16% 21.66% 21.30% 20.91% 20.52% 20.13% 19.74% 19.35% 18.91% 18.37% 17.88% 17.49% 17.15% 16.81% 16.47% 16.17% 15.88% 15.59% 15.34% 15.24% 15.15% 15.05%

Kansas Baseline 27.09% 27.08% 26.10% 24.20% 24.23% 23.80% 23.02% 22.62% 21.97% 22.20% 22.25% 21.76% 22.81% 22.43% 22.32% 21.98% 21.73% 22.22% 22.10% 20.41% 20.08% 19.71% 19.43% 19.16% 18.88% 18.62% 18.37% 18.14% 18.05% 17.96% 17.87% 17.78% 17.73% 17.68% 17.64% 17.59% 17.55% 17.51% 17.48% 17.48%

Optimistic 27.09% 27.08% 26.10% 24.20% 24.23% 23.80% 23.02% 22.62% 21.97% 22.20% 22.25% 21.76% 22.81% 22.43% 22.32% 21.98% 21.73% 22.22% 22.10% 20.41% 20.08% 19.71% 19.34% 18.97% 18.61% 18.24% 17.82% 17.32% 16.86% 16.49% 16.16% 15.84% 15.52% 15.24% 14.97% 14.69% 14.46% 14.37% 14.28% 14.18%

Kentucky Baseline 37.65% 37.64% 36.29% 33.64% 33.68% 33.09% 32.00% 31.44% 30.54% 30.86% 30.92% 30.25% 31.71% 31.18% 31.03% 30.56% 30.21% 30.89% 32.57% 30.75% 30.25% 29.69% 29.28% 28.86% 28.44% 28.05% 27.68% 27.33% 27.19% 27.06% 26.92% 26.78% 26.71% 26.64% 26.57% 26.50% 26.43% 26.38% 26.33% 26.33%

Optimistic 37.65% 37.64% 36.29% 33.64% 33.68% 33.09% 32.00% 31.44% 30.54% 30.86% 30.92% 30.25% 31.71% 31.18% 31.03% 30.56% 30.21% 30.89% 32.57% 30.75% 30.25% 29.69% 29.14% 28.58% 28.03% 27.47% 26.85% 26.08% 25.39% 24.84% 24.35% 23.86% 23.38% 22.96% 22.55% 22.13% 21.78% 21.64% 21.51% 21.37%

Louisiana Baseline 30.01% 30.01% 28.93% 26.82% 26.84% 26.37% 25.51% 25.06% 24.35% 24.60% 24.65% 24.11% 25.28% 24.86% 24.74% 24.36% 24.08% 24.63% 23.87% 26.53% 26.09% 25.61% 25.25% 24.89% 24.53% 24.20% 23.88% 23.58% 23.46% 23.34% 23.22% 23.10% 23.04% 22.98% 22.92% 22.86% 22.80% 22.75% 22.71% 22.71%

Optimistic 30.01% 30.01% 28.93% 26.82% 26.84% 26.37% 25.51% 25.06% 24.35% 24.60% 24.65% 24.11% 25.28% 24.86% 24.74% 24.36% 24.08% 24.63% 23.87% 26.53% 26.09% 25.61% 25.13% 24.65% 24.17% 23.70% 23.16% 22.50% 21.90% 21.42% 21.00% 20.58% 20.17% 19.81% 19.45% 19.09% 18.79% 18.67% 18.55% 18.43%

Maine Baseline 29.18% 29.17% 28.12% 26.07% 26.10% 25.64% 24.80% 24.36% 23.67% 23.91% 23.96% 23.44% 24.57% 24.17% 24.05% 23.68% 23.41% 23.94% 23.59% 23.67% 23.28% 22.86% 22.54% 22.21% 21.89% 21.60% 21.31% 21.04% 20.93% 20.83% 20.72% 20.61% 20.56% 20.51% 20.45% 20.40% 20.35% 20.30% 20.27% 20.27%

Optimistic 29.18% 29.17% 28.12% 26.07% 26.10% 25.64% 24.80% 24.36% 23.67% 23.91% 23.96% 23.44% 24.57% 24.17% 24.05% 23.68% 23.41% 23.94% 23.59% 23.67% 23.28% 22.86% 22.43% 22.00% 21.57% 21.15% 20.67% 20.08% 19.54% 19.12% 18.74% 18.37% 18.00% 17.68% 17.36% 17.03% 16.77% 16.66% 16.55% 16.45%

Maryland Baseline 25.75% 25.74% 24.82% 23.01% 23.03% 22.63% 21.88% 21.50% 20.89% 21.10% 21.15% 20.68% 21.69% 21.33% 21.22% 20.90% 20.66% 21.13% 21.94% 20.13% 19.80% 19.43% 19.16% 18.89% 18.62% 18.36% 18.12% 17.89% 17.80% 17.71% 17.62% 17.53% 17.48% 17.44% 17.39% 17.35% 17.30% 17.26% 17.24% 17.24%

Optimistic 25.75% 25.74% 24.82% 23.01% 23.03% 22.63% 21.88% 21.50% 20.89% 21.10% 21.15% 20.68% 21.69% 21.33% 21.22% 20.90% 20.66% 21.13% 21.94% 20.13% 19.80% 19.43% 19.07% 18.71% 18.35% 17.98% 17.57% 17.07% 16.62% 16.26% 15.94% 15.62% 15.30% 15.03% 14.76% 14.49% 14.26% 14.17% 14.08% 13.99%

Massachusetts Baseline 23.76% 23.75% 22.90% 21.23% 21.25% 20.88% 20.19% 19.84% 19.27% 19.47% 19.51% 19.09% 20.01% 19.68% 19.58% 19.28% 19.06% 19.49% 18.94% 19.08% 18.77% 18.42% 18.16% 17.91% 17.65% 17.41% 17.17% 16.96% 16.87% 16.79% 16.70% 16.61% 16.57% 16.53% 16.48% 16.44% 16.40% 16.36% 16.34% 16.34%

Optimistic 23.76% 23.75% 22.90% 21.23% 21.25% 20.88% 20.19% 19.84% 19.27% 19.47% 19.51% 19.09% 20.01% 19.68% 19.58% 19.28% 19.06% 19.49% 18.94% 19.08% 18.77% 18.42% 18.08% 17.73% 17.39% 17.04% 16.66% 16.18% 15.75% 15.41% 15.11% 14.81% 14.50% 14.25% 13.99% 13.73% 13.51% 13.43% 13.34% 13.26%

Michigan Baseline 31.15% 31.14% 30.02% 27.83% 27.86% 27.37% 26.47% 26.01% 25.27% 25.52% 25.58% 25.02% 26.23% 25.80% 25.67% 25.28% 24.99% 25.55% 24.18% 26.10% 25.67% 25.20% 24.84% 24.49% 24.14% 23.81% 23.49% 23.20% 23.08% 22.96% 22.84% 22.72% 22.67% 22.61% 22.55% 22.49% 22.43% 22.38% 22.35% 22.35%

Optimistic 31.15% 31.14% 30.02% 27.83% 27.86% 27.37% 26.47% 26.01% 25.27% 25.52% 25.58% 25.02% 26.23% 25.80% 25.67% 25.28% 24.99% 25.55% 24.18% 26.10% 25.67% 25.20% 24.73% 24.25% 23.78% 23.31% 22.78% 22.14% 21.55% 21.08% 20.66% 20.25% 19.84% 19.49% 19.13% 18.78% 18.49% 18.37% 18.25% 18.13%

Minnesota Baseline 27.00% 26.99% 26.02% 24.12% 24.15% 23.72% 22.94% 22.54% 21.90% 22.12% 22.17% 21.69% 22.74% 22.36% 22.25% 21.91% 21.66% 22.15% 21.74% 21.11% 20.76% 20.38% 20.10% 19.81% 19.53% 19.26% 19.00% 18.76% 18.67% 18.57% 18.48% 18.38% 18.34% 18.29% 18.24% 18.19% 18.15% 18.11% 18.08% 18.08%

Optimistic 27.00% 26.99% 26.02% 24.12% 24.15% 23.72% 22.94% 22.54% 21.90% 22.12% 22.17% 21.69% 22.74% 22.36% 22.25% 21.91% 21.66% 22.15% 21.74% 21.11% 20.76% 20.38% 20.00% 19.62% 19.24% 18.86% 18.43% 17.91% 17.43% 17.05% 16.72% 16.38% 16.05% 15.76% 15.48% 15.19% 14.95% 14.86% 14.76% 14.67%

Mississippi Baseline 30.84% 30.83% 29.72% 27.55% 27.58% 27.10% 26.21% 25.75% 25.01% 25.27% 25.33% 24.77% 25.97% 25.54% 25.41% 25.03% 24.74% 25.30% 27.31% 25.58% 25.16% 24.70% 24.35% 24.00% 23.66% 23.33% 23.02% 22.73% 22.62% 22.50% 22.39% 22.27% 22.22% 22.16% 22.10% 22.04% 21.98% 21.94% 21.90% 21.90%

Optimistic 30.84% 30.83% 29.72% 27.55% 27.58% 27.10% 26.21% 25.75% 25.01% 25.27% 25.33% 24.77% 25.97% 25.54% 25.41% 25.03% 24.74% 25.30% 27.31% 25.58% 25.16% 24.70% 24.24% 23.77% 23.31% 22.85% 22.33% 21.70% 21.12% 20.66% 20.25% 19.85% 19.45% 19.10% 18.75% 18.41% 18.12% 18.00% 17.89% 17.77%

Missouri Baseline 31.58% 31.57% 30.44% 28.22% 28.24% 27.75% 26.84% 26.37% 25.62% 25.88% 25.94% 25.37% 26.60% 26.15% 26.03% 25.63% 25.33% 25.91% 26.51% 27.20% 26.75% 26.26% 25.90% 25.53% 25.16% 24.82% 24.48% 24.18% 24.05% 23.93% 23.81% 23.69% 23.63% 23.56% 23.50% 23.44% 23.38% 23.33% 23.29% 23.29%

Optimistic 31.58% 31.57% 30.44% 28.22% 28.24% 27.75% 26.84% 26.37% 25.62% 25.88% 25.94% 25.37% 26.60% 26.15% 26.03% 25.63% 25.33% 25.91% 26.51% 27.20% 26.75% 26.26% 25.77% 25.28% 24.79% 24.30% 23.75% 23.07% 22.46% 21.97% 21.54% 21.11% 20.68% 20.31% 19.94% 19.58% 19.27% 19.15% 19.02% 18.90%

Montana Baseline 26.71% 26.70% 25.74% 23.86% 23.89% 23.47% 22.70% 22.30% 21.67% 21.89% 21.93% 21.45% 22.49% 22.12% 22.01% 21.68% 21.43% 21.91% 21.20% 19.98% 19.66% 19.30% 19.02% 18.75% 18.48% 18.23% 17.99% 17.76% 17.67% 17.58% 17.49% 17.40% 17.36% 17.31% 17.27% 17.22% 17.18% 17.14% 17.11% 17.11%

Optimistic 26.71% 26.70% 25.74% 23.86% 23.89% 23.47% 22.70% 22.30% 21.67% 21.89% 21.93% 21.45% 22.49% 22.12% 22.01% 21.68% 21.43% 21.91% 21.20% 19.98% 19.66% 19.30% 18.93% 18.57% 18.21% 17.85% 17.45% 16.95% 16.50% 16.14% 15.82% 15.51% 15.19% 14.92% 14.65% 14.38% 14.16% 14.07% 13.98% 13.89%

Nebraska Baseline 24.63% 24.62% 23.74% 22.01% 22.03% 21.64% 20.93% 20.57% 19.98% 20.18% 20.23% 19.79% 20.74% 20.40% 20.30% 19.99% 19.76% 20.21% 22.75% 21.24% 20.89% 20.51% 20.22% 19.94% 19.65% 19.38% 19.12% 18.88% 18.79% 18.69% 18.59% 18.50% 18.45% 18.40% 18.35% 18.31% 18.26% 18.22% 18.19% 18.19%

Optimistic 24.63% 24.62% 23.74% 22.01% 22.03% 21.64% 20.93% 20.57% 19.98% 20.18% 20.23% 19.79% 20.74% 20.40% 20.30% 19.99% 19.76% 20.21% 22.75% 21.24% 20.89% 20.51% 20.13% 19.74% 19.36% 18.98% 18.55% 18.02% 17.54% 17.16% 16.82% 16.49% 16.15% 15.86% 15.57% 15.29% 15.05% 14.95% 14.86% 14.76%

Nevada Baseline 32.82% 32.81% 31.63% 29.32% 29.35% 28.84% 27.89% 27.40% 26.62% 26.89% 26.95% 26.36% 27.64% 27.18% 27.05% 26.64% 26.33% 26.93% 26.05% 25.17% 24.75% 24.30% 23.96% 23.62% 23.28% 22.96% 22.65% 22.37% 22.25% 22.14% 22.03% 21.91% 21.86% 21.80% 21.74% 21.69% 21.63% 21.58% 21.55% 21.55%

Optimistic 32.82% 32.81% 31.63% 29.32% 29.35% 28.84% 27.89% 27.40% 26.62% 26.89% 26.95% 26.36% 27.64% 27.18% 27.05% 26.64% 26.33% 26.93% 26.05% 25.17% 24.75% 24.30% 23.84% 23.39% 22.93% 22.48% 21.97% 21.35% 20.78% 20.32% 19.93% 19.53% 19.13% 18.79% 18.45% 18.11% 17.83% 17.71% 17.60% 17.48%

New Hampshire Baseline 29.37% 29.36% 28.31% 26.24% 26.27% 25.81% 24.96% 24.53% 23.83% 24.07% 24.12% 23.59% 24.74% 24.33% 24.21% 23.84% 23.56% 24.10% 23.18% 21.21% 20.86% 20.47% 20.19% 19.90% 19.61% 19.34% 19.09% 18.85% 18.75% 18.66% 18.56% 18.46% 18.42% 18.37% 18.32% 18.27% 18.23% 18.19% 18.16% 18.16%

Optimistic 29.37% 29.36% 28.31% 26.24% 26.27% 25.81% 24.96% 24.53% 23.83% 24.07% 24.12% 23.59% 24.74% 24.33% 24.21% 23.84% 23.56% 24.10% 23.18% 21.21% 20.86% 20.47% 20.09% 19.71% 19.33% 18.94% 18.51% 17.99% 17.51% 17.13% 16.79% 16.46% 16.12% 15.83% 15.55% 15.26% 15.02% 14.92% 14.83% 14.73%

New Jersey Baseline 25.77% 25.76% 24.83% 23.02% 23.05% 22.64% 21.90% 21.52% 20.90% 21.12% 21.16% 20.70% 21.70% 21.34% 21.24% 20.91% 20.67% 21.14% 19.01% 19.40% 19.08% 18.73% 18.47% 18.21% 17.95% 17.70% 17.46% 17.25% 17.16% 17.07% 16.98% 16.90% 16.85% 16.81% 16.76% 16.72% 16.68% 16.64% 16.62% 16.62%

Optimistic 25.77% 25.76% 24.83% 23.02% 23.05% 22.64% 21.90% 21.52% 20.90% 21.12% 21.16% 20.70% 21.70% 21.34% 21.24% 20.91% 20.67% 21.14% 19.01% 19.40% 19.08% 18.73% 18.38% 18.03% 17.68% 17.33% 16.94% 16.46% 16.02% 15.67% 15.36% 15.06% 14.75% 14.49% 14.23% 13.96% 13.74% 13.66% 13.57% 13.48%

New Mexico Baseline 29.03% 29.02% 27.98% 25.94% 25.97% 25.51% 24.67% 24.24% 23.55% 23.79% 23.84% 23.32% 24.45% 24.04% 23.93% 23.56% 23.29% 23.82% 21.23% 22.00% 21.64% 21.24% 20.95% 20.65% 20.35% 20.07% 19.80% 19.56% 19.46% 19.36% 19.26% 19.16% 19.11% 19.06% 19.01% 18.96% 18.91% 18.87% 18.84% 18.84%

Optimistic 29.03% 29.02% 27.98% 25.94% 25.97% 25.51% 24.67% 24.24% 23.55% 23.79% 23.84% 23.32% 24.45% 24.04% 23.93% 23.56% 23.29% 23.82% 21.23% 22.00% 21.64% 21.24% 20.85% 20.45% 20.05% 19.65% 19.21% 18.66% 18.17% 17.77% 17.42% 17.07% 16.73% 16.43% 16.13% 15.83% 15.58% 15.49% 15.39% 15.29%

New York Baseline 28.31% 28.30% 27.28% 25.30% 25.32% 24.88% 24.06% 23.64% 22.97% 23.20% 23.25% 22.74% 23.84% 23.45% 23.33% 22.98% 22.71% 23.23% 22.33% 21.65% 21.29% 20.90% 20.61% 20.31% 20.02% 19.75% 19.48% 19.24% 19.14% 19.05% 18.95% 18.85% 18.80% 18.75% 18.70% 18.65% 18.61% 18.57% 18.54% 18.54%

Optimistic 28.31% 28.30% 27.28% 25.30% 25.32% 24.88% 24.06% 23.64% 22.97% 23.20% 23.25% 22.74% 23.84% 23.45% 23.33% 22.98% 22.71% 23.23% 22.33% 21.65% 21.29% 20.90% 20.51% 20.12% 19.73% 19.34% 18.90% 18.36% 17.87% 17.48% 17.14% 16.80% 16.46% 16.16% 15.87% 15.58% 15.33% 15.24% 15.14% 15.04%

North Carolina Baseline 31.37% 31.36% 30.23% 28.03% 28.05% 27.56% 26.66% 26.19% 25.44% 25.70% 25.76% 25.20% 26.42% 25.98% 25.85% 25.46% 25.16% 25.74% 26.27% 24.78% 24.37% 23.93% 23.59% 23.26% 22.92% 22.61% 22.31% 22.03% 21.91% 21.80% 21.69% 21.58% 21.52% 21.47% 21.41% 21.35% 21.30% 21.25% 21.22% 21.22%

Optimistic 31.37% 31.36% 30.23% 28.03% 28.05% 27.56% 26.66% 26.19% 25.44% 25.70% 25.76% 25.20% 26.42% 25.98% 25.85% 25.46% 25.16% 25.74% 26.27% 24.78% 24.37% 23.93% 23.48% 23.03% 22.58% 22.14% 21.63% 21.02% 20.46% 20.01% 19.62% 19.23% 18.84% 18.50% 18.17% 17.83% 17.55% 17.44% 17.33% 17.22%

North Dakota Baseline 26.94% 26.94% 25.97% 24.07% 24.10% 23.68% 22.90% 22.50% 21.86% 22.08% 22.13% 21.64% 22.69% 22.31% 22.21% 21.87% 21.62% 22.11% 21.48% 20.51% 20.18% 19.81% 19.53% 19.25% 18.97% 18.71% 18.46% 18.23% 18.14% 18.05% 17.95% 17.86% 17.82% 17.77% 17.72% 17.68% 17.63% 17.59% 17.57% 17.57%

Optimistic 26.94% 26.94% 25.97% 24.07% 24.10% 23.68% 22.90% 22.50% 21.86% 22.08% 22.13% 21.64% 22.69% 22.31% 22.21% 21.87% 21.62% 22.11% 21.48% 20.51% 20.18% 19.81% 19.44% 19.07% 18.70% 18.32% 17.91% 17.40% 16.94% 16.57% 16.24% 15.92% 15.59% 15.32% 15.04% 14.76% 14.53% 14.44% 14.35% 14.25%

Ohio Baseline 33.66% 33.65% 32.44% 30.08% 30.11% 29.58% 28.61% 28.11% 27.31% 27.59% 27.65% 27.04% 28.35% 27.88% 27.74% 27.32% 27.00% 27.62% 26.62% 25.21% 24.80% 24.34% 24.00% 23.66% 23.32% 23.00% 22.70% 22.41% 22.30% 22.18% 22.07% 21.96% 21.90% 21.84% 21.79% 21.73% 21.67% 21.63% 21.59% 21.59%

Optimistic 33.66% 33.65% 32.44% 30.08% 30.11% 29.58% 28.61% 28.11% 27.31% 27.59% 27.65% 27.04% 28.35% 27.88% 27.74% 27.32% 27.00% 27.62% 26.62% 25.21% 24.80% 24.34% 23.89% 23.43% 22.98% 22.52% 22.01% 21.39% 20.82% 20.36% 19.97% 19.57% 19.17% 18.83% 18.49% 18.14% 17.86% 17.75% 17.63% 17.52%

Oklahoma Baseline 34.92% 34.91% 33.66% 31.20% 31.23% 30.69% 29.68% 29.16% 28.33% 28.62% 28.68% 28.05% 29.41% 28.92% 28.78% 28.34% 28.02% 28.65% 26.61% 25.13% 24.71% 24.26% 23.92% 23.58% 23.24% 22.92% 22.62% 22.33% 22.22% 22.11% 21.99% 21.88% 21.82% 21.77% 21.71% 21.65% 21.60% 21.55% 21.52% 21.52%

Optimistic 34.92% 34.91% 33.66% 31.20% 31.23% 30.69% 29.68% 29.16% 28.33% 28.62% 28.68% 28.05% 29.41% 28.92% 28.78% 28.34% 28.02% 28.65% 26.61% 25.13% 24.71% 24.26% 23.81% 23.35% 22.90% 22.45% 21.94% 21.31% 20.75% 20.29% 19.90% 19.50% 19.10% 18.76% 18.42% 18.08% 17.80% 17.69% 17.57% 17.46%

Oregon Baseline 24.96% 24.95% 24.06% 22.30% 22.32% 21.93% 21.21% 20.84% 20.25% 20.45% 20.50% 20.05% 21.02% 20.67% 20.57% 20.26% 20.02% 20.48% 22.44% 20.93% 20.59% 20.21% 19.93% 19.64% 19.36% 19.09% 18.84% 18.60% 18.51% 18.41% 18.32% 18.23% 18.18% 18.13% 18.08% 18.04% 17.99% 17.95% 17.92% 17.92%

Optimistic 24.96% 24.95% 24.06% 22.30% 22.32% 21.93% 21.21% 20.84% 20.25% 20.45% 20.50% 20.05% 21.02% 20.67% 20.57% 20.26% 20.02% 20.48% 22.44% 20.93% 20.59% 20.21% 19.83% 19.45% 19.08% 18.70% 18.27% 17.75% 17.28% 16.90% 16.57% 16.24% 15.91% 15.63% 15.35% 15.06% 14.83% 14.73% 14.64% 14.54%

Pennsylvania Baseline 29.83% 29.82% 28.75% 26.66% 26.68% 26.22% 25.35% 24.91% 24.20% 24.45% 24.50% 23.97% 25.13% 24.71% 24.59% 24.21% 23.93% 24.48% 24.53% 25.40% 24.99% 24.53% 24.18% 23.84% 23.50% 23.17% 22.86% 22.58% 22.46% 22.35% 22.23% 22.12% 22.06% 22.01% 21.95% 21.89% 21.83% 21.79% 21.75% 21.75%

Optimistic 29.83% 29.82% 28.75% 26.66% 26.68% 26.22% 25.35% 24.91% 24.20% 24.45% 24.50% 23.97% 25.13% 24.71% 24.59% 24.21% 23.93% 24.48% 24.53% 25.40% 24.99% 24.53% 24.07% 23.61% 23.15% 22.69% 22.18% 21.55% 20.97% 20.52% 20.11% 19.71% 19.31% 18.97% 18.62% 18.28% 17.99% 17.88% 17.76% 17.65%

Rhode Island Baseline 29.10% 29.09% 28.04% 26.00% 26.02% 25.57% 24.73% 24.30% 23.60% 23.84% 23.90% 23.37% 24.50% 24.10% 23.98% 23.62% 23.34% 23.87% 22.41% 22.36% 22.00% 21.59% 21.29% 20.99% 20.68% 20.40% 20.13% 19.88% 19.78% 19.68% 19.57% 19.47% 19.42% 19.37% 19.32% 19.27% 19.22% 19.18% 19.15% 19.15%

Optimistic 29.10% 29.09% 28.04% 26.00% 26.02% 25.57% 24.73% 24.30% 23.60% 23.84% 23.90% 23.37% 24.50% 24.10% 23.98% 23.62% 23.34% 23.87% 22.41% 22.36% 22.00% 21.59% 21.19% 20.79% 20.38% 19.98% 19.52% 18.97% 18.46% 18.06% 17.71% 17.35% 17.00% 16.70% 16.40% 16.09% 15.84% 15.74% 15.64% 15.54%

South Carolina Baseline 31.74% 31.73% 30.59% 28.36% 28.39% 27.89% 26.98% 26.50% 25.75% 26.01% 26.07% 25.50% 26.73% 26.29% 26.16% 25.76% 25.46% 26.04% 26.55% 25.47% 25.05% 24.59% 24.25% 23.90% 23.56% 23.24% 22.93% 22.64% 22.52% 22.41% 22.29% 22.18% 22.12% 22.06% 22.01% 21.95% 21.89% 21.85% 21.81% 21.81%

Optimistic 31.74% 31.73% 30.59% 28.36% 28.39% 27.89% 26.98% 26.50% 25.75% 26.01% 26.07% 25.50% 26.73% 26.29% 26.16% 25.76% 25.46% 26.04% 26.55% 25.47% 25.05% 24.59% 24.13% 23.67% 23.21% 22.75% 22.24% 21.60% 21.03% 20.57% 20.17% 19.77% 19.36% 19.02% 18.67% 18.33% 18.04% 17.93% 17.81% 17.70%

South Dakota Baseline 27.20% 27.20% 26.22% 24.31% 24.33% 23.90% 23.12% 22.72% 22.07% 22.29% 22.34% 21.85% 22.91% 22.53% 22.42% 22.08% 21.82% 22.32% 22.58% 22.66% 22.29% 21.88% 21.57% 21.26% 20.96% 20.67% 20.40% 20.14% 20.04% 19.94% 19.83% 19.73% 19.68% 19.63% 19.58% 19.53% 19.48% 19.43% 19.40% 19.40%

Optimistic 27.20% 27.20% 26.22% 24.31% 24.33% 23.90% 23.12% 22.72% 22.07% 22.29% 22.34% 21.85% 22.91% 22.53% 22.42% 22.08% 21.82% 22.32% 22.58% 22.66% 22.29% 21.88% 21.47% 21.06% 20.65% 20.24% 19.78% 19.22% 18.71% 18.30% 17.94% 17.58% 17.23% 16.92% 16.61% 16.31% 16.05% 15.95% 15.85% 15.74%

Tennessee Baseline 29.70% 29.69% 28.63% 26.54% 26.56% 26.10% 25.24% 24.80% 24.09% 24.34% 24.39% 23.86% 25.02% 24.60% 24.48% 24.11% 23.83% 24.37% 27.73% 25.64% 25.22% 24.76% 24.41% 24.06% 23.72% 23.39% 23.08% 22.79% 22.68% 22.56% 22.44% 22.33% 22.27% 22.21% 22.15% 22.10% 22.04% 21.99% 21.96% 21.96%

Optimistic 29.70% 29.69% 28.63% 26.54% 26.56% 26.10% 25.24% 24.80% 24.09% 24.34% 24.39% 23.86% 25.02% 24.60% 24.48% 24.11% 23.83% 24.37% 27.73% 25.64% 25.22% 24.76% 24.30% 23.83% 23.37% 22.91% 22.39% 21.75% 21.17% 20.71% 20.30% 19.90% 19.49% 19.15% 18.80% 18.45% 18.16% 18.05% 17.93% 17.82%

Texas Baseline 27.25% 27.24% 26.26% 24.35% 24.37% 23.94% 23.16% 22.75% 22.10% 22.33% 22.38% 21.89% 22.95% 22.57% 22.46% 22.12% 21.86% 22.36% 22.86% 22.08% 21.72% 21.32% 21.02% 20.72% 20.42% 20.14% 19.88% 19.63% 19.53% 19.43% 19.33% 19.23% 19.18% 19.13% 19.08% 19.03% 18.98% 18.94% 18.91% 18.91%

Optimistic 27.25% 27.24% 26.26% 24.35% 24.37% 23.94% 23.16% 22.75% 22.10% 22.33% 22.38% 21.89% 22.95% 22.57% 22.46% 22.12% 21.86% 22.36% 22.86% 22.08% 21.72% 21.32% 20.92% 20.52% 20.12% 19.73% 19.28% 18.73% 18.23% 17.83% 17.48% 17.14% 16.79% 16.49% 16.19% 15.89% 15.64% 15.54% 15.44% 15.34%

Utah Baseline 16.13% 16.13% 15.55% 14.42% 14.43% 14.18% 13.71% 13.47% 13.09% 13.22% 13.25% 12.96% 13.59% 13.36% 13.30% 13.09% 12.94% 13.24% 12.76% 11.89% 11.70% 11.48% 11.32% 11.16% 11.00% 10.85% 10.71% 10.57% 10.52% 10.46% 10.41% 10.36% 10.33% 10.30% 10.28% 10.25% 10.22% 10.20% 10.19% 10.19%

Optimistic 16.13% 16.13% 15.55% 14.42% 14.43% 14.18% 13.71% 13.47% 13.09% 13.22% 13.25% 12.96% 13.59% 13.36% 13.30% 13.09% 12.94% 13.24% 12.76% 11.89% 11.70% 11.48% 11.27% 11.06% 10.84% 10.63% 10.38% 10.09% 9.82% 9.61% 9.42% 9.23% 9.04% 8.88% 8.72% 8.56% 8.43% 8.37% 8.32% 8.26%

Vermont Baseline 27.32% 27.31% 26.33% 24.41% 24.43% 24.00% 23.22% 22.81% 22.16% 22.39% 22.43% 21.94% 23.01% 22.62% 22.51% 22.17% 21.91% 22.41% 21.14% 19.54% 19.22% 18.86% 18.60% 18.34% 18.07% 17.82% 17.59% 17.37% 17.28% 17.19% 17.10% 17.01% 16.97% 16.93% 16.88% 16.84% 16.79% 16.76% 16.73% 16.73%

Optimistic 27.32% 27.31% 26.33% 24.41% 24.43% 24.00% 23.22% 22.81% 22.16% 22.39% 22.43% 21.94% 23.01% 22.62% 22.51% 22.17% 21.91% 22.41% 21.14% 19.54% 19.22% 18.86% 18.51% 18.16% 17.81% 17.45% 17.06% 16.57% 16.13% 15.78% 15.47% 15.16% 14.85% 14.59% 14.33% 14.06% 13.84% 13.75% 13.66% 13.58%

Virginia Baseline 27.45% 27.44% 26.45% 24.53% 24.55% 24.12% 23.33% 22.92% 22.27% 22.49% 22.54% 22.05% 23.12% 22.73% 22.62% 22.28% 22.02% 22.52% 24.61% 21.99% 21.62% 21.23% 20.93% 20.63% 20.33% 20.06% 19.79% 19.54% 19.44% 19.34% 19.24% 19.14% 19.09% 19.05% 19.00% 18.95% 18.90% 18.86% 18.83% 18.83%

Optimistic 27.45% 27.44% 26.45% 24.53% 24.55% 24.12% 23.33% 22.92% 22.27% 22.49% 22.54% 22.05% 23.12% 22.73% 22.62% 22.28% 22.02% 22.52% 24.61% 21.99% 21.62% 21.23% 20.83% 20.43% 20.04% 19.64% 19.19% 18.65% 18.15% 17.76% 17.41% 17.06% 16.71% 16.42% 16.12% 15.82% 15.57% 15.47% 15.37% 15.28%

Washington Baseline 27.37% 27.36% 26.38% 24.46% 24.48% 24.05% 23.26% 22.85% 22.20% 22.43% 22.48% 21.99% 23.05% 22.67% 22.56% 22.22% 21.96% 22.46% 21.47% 19.55% 19.23% 18.87% 18.61% 18.34% 18.08% 17.83% 17.59% 17.37% 17.29% 17.20% 17.11% 17.02% 16.98% 16.93% 16.89% 16.84% 16.80% 16.77% 16.74% 16.74%

Optimistic 27.37% 27.36% 26.38% 24.46% 24.48% 24.05% 23.26% 22.85% 22.20% 22.43% 22.48% 21.99% 23.05% 22.67% 22.56% 22.22% 21.96% 22.46% 21.47% 19.55% 19.23% 18.87% 18.52% 18.17% 17.81% 17.46% 17.07% 16.58% 16.14% 15.79% 15.48% 15.17% 14.86% 14.60% 14.33% 14.07% 13.85% 13.76% 13.67% 13.58%

West Virginia Baseline 34.35% 34.34% 33.11% 30.69% 30.72% 30.19% 29.19% 28.68% 27.87% 28.15% 28.21% 27.60% 28.93% 28.45% 28.31% 27.88% 27.56% 28.18% 28.43% 27.34% 26.89% 26.40% 26.03% 25.66% 25.29% 24.94% 24.61% 24.30% 24.18% 24.05% 23.93% 23.81% 23.74% 23.68% 23.62% 23.56% 23.50% 23.45% 23.41% 23.41%

Optimistic 34.35% 34.34% 33.11% 30.69% 30.72% 30.19% 29.19% 28.68% 27.87% 28.15% 28.21% 27.60% 28.93% 28.45% 28.31% 27.88% 27.56% 28.18% 28.43% 27.34% 26.89% 26.40% 25.90% 25.41% 24.92% 24.42% 23.87% 23.19% 22.57% 22.08% 21.65% 21.22% 20.78% 20.41% 20.04% 19.67% 19.37% 19.24% 19.12% 19.00%

Wisconsin Baseline 28.72% 28.72% 27.68% 25.67% 25.69% 25.24% 24.41% 23.99% 23.30% 23.54% 23.59% 23.07% 24.19% 23.79% 23.67% 23.31% 23.04% 23.57% 23.33% 22.04% 21.67% 21.28% 20.98% 20.68% 20.38% 20.10% 19.83% 19.59% 19.49% 19.39% 19.29% 19.19% 19.14% 19.09% 19.04% 18.99% 18.94% 18.90% 18.87% 18.87%

Optimistic 28.72% 28.72% 27.68% 25.67% 25.69% 25.24% 24.41% 23.99% 23.30% 23.54% 23.59% 23.07% 24.19% 23.79% 23.67% 23.31% 23.04% 23.57% 23.33% 22.04% 21.67% 21.28% 20.88% 20.48% 20.08% 19.69% 19.24% 18.69% 18.19% 17.80% 17.45% 17.10% 16.75% 16.45% 16.16% 15.86% 15.61% 15.51% 15.41% 15.31%

Wyoming Baseline 27.02% 27.01% 26.04% 24.14% 24.16% 23.74% 22.96% 22.56% 21.92% 22.14% 22.19% 21.70% 22.76% 22.38% 22.27% 21.93% 21.68% 22.17% 23.67% 24.61% 24.20% 23.76% 23.43% 23.09% 22.76% 22.45% 22.15% 21.87% 21.76% 21.65% 21.54% 21.43% 21.37% 21.32% 21.26% 21.21% 21.15% 21.11% 21.07% 21.07%

Optimistic 27.02% 27.01% 26.04% 24.14% 24.16% 23.74% 22.96% 22.56% 21.92% 22.14% 22.19% 21.70% 22.76% 22.38% 22.27% 21.93% 21.68% 22.17% 23.67% 24.61% 24.20% 23.76% 23.32% 22.87% 22.43% 21.98% 21.48% 20.87% 20.32% 19.87% 19.49% 19.10% 18.71% 18.38% 18.04% 17.71% 17.43% 17.32% 17.21% 17.10%

Milken Institute analysis based on MEPS, NHIS, etc.
For more information refer to full report “An Unhealthy America: Economic Burden of Chronic Disease” or visit www.milkeninstitute.org