As you can see, Hawaii led the pack, and that shouldn't surprise you. Hawaii was at No. 2 last year, but it's been at No. 1 four of the past five years and a total of nine times since 1990, the first year of the report. In fact, the entire top five this year was present in the top five last year, and Hawaii, Massachusetts, and Connecticut were in the top 10 for all five categories. But it's also worth highlighting Maine, which climbed seven places, all the way up to No. 16 this year -- much of that had to do with improvements in its smoking and children-in-poverty rankings.
Then there are the states that, as the report says, have the "greatest opportunity for improvement." That means Louisiana, which came in last, and Mississippi, which came in next-to-last. Next was Alabama, which was a good bit ahead of them. In other words, it's unlikely that there will be a shakeup for those bottom two. Oklahoma dropped the furthest, from 43 to 47, which the report attributes to increases in both obesity and physical inactivity. But that just means they have greater "opportunity for improvement" next year.
While that may be a bit of downer, there is some good news: The report points out that "difference between the highest and lowest scores is smaller than it was in 2017." At least we're in this together.
h/t United Health Foundation, BGR