I wonder how much genetics contribute as well. Minnesotans are pretty homogenous in their genetic makeup—almost all of them are north Germans and Scandinavians. If north Germans and Scandinavians have a similar life expectancy over in Europe, if we were to check their demographics, then I would say genetics is a factor.
Hawai’i? I would say genetics there too—as I understand it, the native islanders haven’t deviated much from their centuries old eating habits.
They don’t fry a lot of food in Minnesota, no, but they eat a ludicrous amount of pasta and other carbs and I’ve seen a good number of these skinny assed Scandinavians put away food that would topple a horse and not gain a pound! Why don’t they have a high number of people who get diabetes? Genetics.
As for the South, there is a high number of Irish descendants and African Americans. Genetically, they are not equipped to handle a steady stream of food, but are better designed to survive periods of famine—mix that genetic makeup with a carb-heavy, oil-heavy diet, they’re not going to last long on that without health problems.
I know I’m not 100% right—but this is what I’ve put together from several sources. I don’t see many articles that talk about this topic.
It’s a myth that the South has poor health care—UAB has long been a respected center for medical research and medical services are just like the rest of the country—good in some areas, not so good in others. The problem is getting the proud, stubborn, ‘I can do it myself’ people to go to the doctor. These people are the hardest workers I’ve seen, complain the least, and are unfortunately distrustful of people who have power to wield over them.—i.e. doctors. I’ve seen doctors who should have been guillotined for continued malpractice, but because the community’s so poor, they feel they have little power to speak up. I think that should be where services focus their attention—developing a better relationship between the community and medical providers.