Wow. The disparity between Republican stares and others really is striking between ages 40-60. A guess: obesity rates or diagnoses of Type 2 Diabetes for these states might show a similar disparity.
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As I looked at this again this morning another point came to me. Obesity doesn't increase death rates until about age 55, a point that the last, females in Republican states, group's death rate finally heads down.
I think it is the party composition of the state boards that regulate the health insurance industry. There is software that allows them to predict who they are going to lose money on The Book Deadly Spin by Wendell Potter describes how it went into effect in chapter VIII.
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