10 U.S states with the worst standard of living (+Photos)

4. West Virginia

The mortality rate of West Virginia is extremely poor, with 10.5 deaths every 1,000 people, higher than all but two states. Nearly 19% people live below poverty line. Less than 48% people turn to the voting ballots, showing poor political engagement. One of the very few positive sides of this state is that it has just 3.9 murders per 100,000 state residents. However, it features among the worst 20% of OECD regions because of having the lowest voter turnout and employment, and the 8th lowest household disposable income per capita, though its homicide rate is 22nd lowest.