Name:   CRD - Subject:   And then again Date:   9/14/2019 5:49:01 AM

Acccurate appraisals?  You live in a dreamworld Archie.  This simpleton survey was nothing more than asking citizens where they thought their state gov't should direct tax dollars and effort.  The only redeeming value of the survey was the number of metrics.   No mention of who were asked.  Urban, Rural, ethnicity, sex, etc was left up to your imagination.  They asked the same questions for 3 years and averaged it out.  How you proceed from asking individuals where there state should spend resources to using that data to assign an arbitrary state rank is a bit of a stretch for me.  Same with US News' college rankings, no academician I know views those reports with any degree of seriousness.  

Regarding healthcare, stay in your lane Archie.  There were not 4 metrics in this category.