Rural upstate NY. Always checking out the obits. There were some weeks there when no one broke 62. Seems to stabilized, but more rural than Appalachia. The winters are brutal, MDs are hard to find.
Truth. Here in Ithaca the health care is pretty good, but quality falls quickly after 15 minutes drive in any direction.
Not to mention that, aside from college towns and the canal cities, most of upstate NY hasn't been economically prosperous for generations. It takes a toll on folks.