Friday, January 16, 2026

Healthy Habits - Qualify of Life Survey

 A new nationwide analysis from Rula examines where Americans believe people are thriving most and least, and compares those perceptions with health-based state rankings used to measure overall well-being.


The analysis reveals a clear disconnect between reputation and measurable outcomes, with several high-profile states widely viewed as thriving despite weaker health indicators, while other states with stronger underlying metrics are routinely overlooked.

Key findings from Rula:
  • Americans most often name California, Colorado, and Texas as the states where people are thriving the most.
  • Texas shows the largest gap between perception and health outcomes, ranking highly in public opinion but much lower in health-based measures.
  • North Dakota and South Dakota are among the most underrated states, performing substantially better on health indicators than Americans assume.
  • Media exposure and personal connections strongly shape perceptions, often outweighing data on health and well-being.
  • Nearly 2 in 5 Americans say social media has the most influence on which states they think are thriving.
  •  Economic resources are the most frequently cited factor in defining a thriving state.
  • Community and family safety rank second, ahead of education and healthcare access.
With healthcare affordability and mental health access dominating national conversations, these findings offer a snapshot of what Americans want addressed first in their communities.

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