Worst Places to Live in the US — 2026

CNBC released a ranking of the ten worst states to live in within the United States.

Only Republican-led states — ‘red states’ — are on the list.

“CNBC’s bottom 10 states for quality of life, from lowest-scoring upward, were:”

  • Tennessee (64 out of 290)
  • Texas (78)
  • Indiana (82)
  • Louisiana (89)
  • Georgia (89)
  • Utah (95)
  • Missouri (98)
  • Alabama (99)
  • Oklahoma (103)
  • Arkansas (103)

Oh, my.

I’m not a fan of these lists. I don’t think that the best place or the worst is the same for all of us. Too many variables are embedded in our experiences for such a monolithic list to be presented. This list addresses a specific situation; another list previously issued by CNBC had several of these states listed as one of the best places for business.

I still read these articles, though. I read this one somewhat gleefully because ‘red states’ in the Trump era are often espousing values that are opposite of mine.

Then, even more fun, I read the reactions.

‘Florida Governor Ron DeSantis, a Republican, called the ranking “nonsense” in a post on X.

‘“If Tennessee was really the worst state to live in people wouldn’t be moving there in large numbers, which they are,” DeSantis wrote.’

I researched and confirmed, Gen X and Millennials are moving to Tennessee in great numbers in 2026. The irony of it is that they’re going to Tennessee to work in the healthcare industry, but Tennessee is ranked very low for their healthcare system.

This is a fragile, short-term model for growth. Tennessee has an aging population. They need a lot of care; hence the growth in that industry.

But, the One Big Beautiful Bill Act passed last year by the Republican-controlled Congress and signed into bill by Donald Trump let ACA premium subsidies expire. That triggered an average premium increase of 32.6% for Tennessee Marketplace enrollees. That high increase is expected to drive up the number of uninsured people, placing a huge strain on Tennessee’s burgeoning healthcare industry.

Ironically, too, because Tennessee faces a shortage of healthcare workers, wages for them are being forced upward, causing more strain on the system. Additionally, Tennessee is one of the states being hardest hit by the ongoing rural hospital crises.

It’s a classic FAFO situation. As with many of these developing matters, we’ll need to wait a year or two to see what happens next in Tennessee.

Are You Ready?

Daily writing prompt
Create an emergency preparedness plan.

I’ve already created emergency preparedness plans for our house. I almost felt compelled to.

First, I spent my life from 18 years old to over 38 years old in the U.S. Air Force. Almost all of those years were in command and control. My initial duties were to learn how to execute checklist and manage communications relating to disasters affecting my base and unit, and executing war plans as defined by our mission. Then I trained others in those procedures. As I advanced in rank, I gained the responsibilities to write and review the plans, operational procedures, and checklist for disaster preparedness and recovery, and taking care of business.

All that sprawled over into the rest of my life. No matter where I was stationed, overseas or in the U.S., there was always a chance for a war, riot, or natural disaster such as a tornado, hurricane or typhoon (cyclone), earthquake, flooding, wildfire, etc. So I wrote us plans and checklists for coping with that, printed them out, and reviewed them with my wife. When we lived in areas prone to those problems, the local authorities strongly encouraged you to have those things and be prepared, so we did. They reside in a desk drawer but copies are in both cars.

So that’s how I am. Prepared. A checklist dictates what we need to take. We have a go-bag sitting in the closet and a kennel ready for the cat. Three days of clothing is inside the bag. Blankets and old pillows are in another go bag. A little case sits by our meds, ready to be swept up and carried off. A large cardboard box sits in the garage, ready to be filled with food. We keep unopened jars of large peanut butter available for that, along with other foods, such as energy bars, instant coffee, tea, utensils (including a can opener), cat food and treats. Our important papers are in a fire-resistant strong box so we can pick that up and go. We have a case of one liter bottles of water on hand. We also have a dozen plastic gallon jugs ready to be filled and carted off. We’ve had to get ready to evacuate places a couple times, so we’ve practiced grabbing all those things. Besides the basics of AM/FM radio, cell phones and flashlights, we keep a solar powered energy brick charged and ready to go. Extra radio and flashlight batteries are kept in plastic bags beside the go bag in the coat closet between the foyer and the garage.

Are we ready? I hope so, but I know from going through these things, plans go awry. I prefer to keep my fingers crossed and hope that we never need to do these things. But just in case, I’m going to do my best to stay prepared.

Fingers crossed, you know?

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