Quality of life is a major factor in where Americans choose to work, live and make major purchases including homes. These states are the nation's worst.
Healthcare isn't a right because a right cannot be reliant on service provided by others. That's just an entitlement given out by shitty governments. Not to mention that abortion isn't Healthcare
That sidesteps my point, which was that "rights" are granted by governments (the first of those two, jury trial, is literally in "The Bill of Rights"). You can disagree about what should be a right, and in a country with a democratic procedure for determining rights, you can vote to change what is considered a right, but whether it requires a service or not is irrelevant.
Healthcare requiring service does not preclude it from being a right.