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Americans are moving there in droves, but this big, southern US state has nevertheless ranked as America's worst place to live.
In its annual scorecard, CNBC rates Texas as having the poorest quality of life in the US.
The Lone Star state gets that ignominious title due to its lack of doctors, and because so many residents are broke and struggle to pay their medical bills, the outlet says.
The trouble is, Americans who plan to relocate do not appear to have gotten the memo.
People are flocking to Texas — its population exploded by 473,453 people in the year to July 2023.
Poorer, conservative Southern states scored badly on CNBC's ranking for quality of life
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Those who set up home in Frisco, Rockwell, Dallas-Fort Worth and other fast-growing Texas cities are quickly 'encountering some serious livability issues,' warns CNBC.
The state has among the fewest doctors and nurses per 100,000 people, says the United Health Foundation.
Those who are lucky enough to snag an appointment may struggle to pay for it — Texas has more residents without health insurance than anywhere else.
Nearly a fifth of Texans have racked up medical bills that get passed on to collections agencies, credit records show.
The state of some 30 million people has famously low taxes and is a good place to launch business, but residents should also plan for fewer worker protections, the report warns.
Texans who get laid off can only expect unemployment benefits to cover a tenth of their living costs, Oxfam America says.
To make matters worse, Texas lawmakers have 'passed a barrage of laws' that make life tougher for LGBTQ+ residents, researchers say.
There are also restrictions on access to abortions that can leave many women needing to travel across state lines for terminations, they add.
Texas scored poorly, but other states were not far behind.
Indiana, Alabama, Oklahoma, and Arkansas rounded out the bottom five.
The annual scorecard measured crime, health care, air quality, child care, worker protections, and access to abortions.
Poorer, conservative, southern states have historically fared badly when measured in this way.
Still, Texas is not alone in welcoming newcomers.
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The South accounted for 87 percent of the nation's growth in 2023, the Census Bureau says.
Indiana was held back by its eye-watering childcare costs, which eat up 13 percent of a typical household income.
The Hoosier State only has 772 licensed childcare centers to serve 6.8 million people.
Those mulling a move to Alabama might want to plan on taking a wage cut, researchers said.
Oxfam America says the state minimum wage of $7.25 per hour covers less than a fifth of living costs for a family of four.
Oklahoma, meanwhile, languishes with a raft of social and health problems — among the highest rates of obesity and the lowest rates of physical exercise in the nation.
Arkansas lags behind the rest of America thanks to its law and order problem, with the second-highest violent crime rate after New Mexico.
At the other end of the scale, researchers ranked Vermont as the best state to make a home and raise a family.
The Green Mountain State has low crime rates, childcare is plentiful, and it has the 'freshest air of any state in the region,' says the report.
Maine, New Jersey, Minnesota, and Washington rounded out the top five.