It’s hard to know where to start when it comes to tackling the many challenges that are holding back West Virginians. There’s a new metric, a new study nearly every day that shows us how very far we have to go.

But it’s important to use that information to help us change things — to show us where “the way things have always been” has gotten us.

Among the more recent studies was WalletHub’s “States Where People Spend the Most and Least on Health Care.” Mountain State residents who already know we are among the most unhealthy in the country can guess where we wind up on this one.

We spend the third-highest percentage of income on health care of any state. We are in familiar company, as Louisiana and Mississippi are even worse. (Maryland residents spend the least.)

Here, average cost of h

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