It might be time to move to Hawaii! Kidding aside, the article notes there are clear differences in lifespan depending on where you live. As to the reasons why, that’s up to debate.

At age 65, Americans can expect 14 more healthy years on average. But that varies a lot depending on where you live. It’s not just how long you live that matters. It’s healthy life expectancy – the additional years of good health you can expect once you hit 65.

And by that measure, a new analysis shows it makes a lot of difference where Americans live.

The analysis can’t say why states vary so much. Environment certainly plays a role, the study’s authors say. But so do healthy behaviors, such as exercise and refraining from smoking; getting preventive care, such as vaccinations, cancer screening and blood pressure treatment; and having access to good medical care when needed.