5 worst states to practice —West Virginia labeled the worst

Determining where to settle down and establish roots in can be difficult.

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Medscape surveyed physicians to determine the best and worst states to practice in its Best & Worst Places to Practice 2018: Happiness in Work and Home Life report. The survey compared average population lifespan, cost of living, higher education levels, median earnings, unemployment, tax burden, public health rates and personal well-being.

Here are the five worst states and cities to practice.

1. West Virginia (Morgantown)

2. Louisiana (Lafayette)

3. Mississippi (Olive Branch)

4. Kentucky (Lexington)

5. New Mexico (Santa Fe)

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