SUMMARY: State policies and programs make a real difference in people’s lives and even in their longevity. They’re more important than ever given the dysfunction of our federal government. There are stark differences between the policies and programs of Republican-controlled states and Democratic ones that affect access to healthcare, workers’ incomes, and overall well-being.

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States’ policies have very significant effects on people’s health, safety, financial security, and even their longevity. With our federal government so dysfunctional right now, there’s a lot of very valuable work that can and is being done at the state and local levels including:

• Blocking the impact of big money in elections by enacting campaign financing systems that match small donations with public funds (see this previous post for more details), and
• Tackling the affordability crisis by reducing wage theft, increasing the minimum wage, supporting unions, making taxes fairer, subsidizing child care and health care, and enacting paid family leave (see this previous post for more details).

As politics and policies have become more polarized between Republicans and Democrats, a natural experiment has been taking place among the states. Over the last 30 years, a state government’s partisan control has become an increasingly strong indicator of the policies it will adopt or not adopt. This trend has been amplified by the decreasing number of states where government control is or has been shared between Republicans and Democrats. Gerrymandering of state legislative districts is partly to blame. Aggressive and extreme policy proposals from right-wing funded think tanks and advocacy groups, such as the American Legislative Exchange Council (ALEC), have also contributed to the widening differences among states’ policies. [1]

The federal government used to work to narrow differences among the states but now is fueling a widening of the gaps among states. From the New Deal in the 1930s through the 1970s, the federal government worked actively and effectively to shrink the significant economic gaps between richer and poorer states. It provided financial assistance to state governments and residents, including supporting a safety net for low-income families and workers who fell on hard times. However, starting in 1980 and with the election of Republican president Reagan, the federal government reversed its role and has been fostering a widening of the gaps among the states.

Democratic controlled states tend to have stronger worker protections and safety nets than Republican controlled states. They also have better health and well-being among their residents. Republican states have, for example:

• Higher rates of residents without health insurance, the ten worst health care systems in the country, and lower life expectancies.
• Ten of the twelve states with the highest rates of smoking-related cancer.
• Ten of the twelve states with the highest rates of obesity.
• Eight of the ten states with the most Covid deaths.
• Lower minimum wages. Of the twenty states that have the lowest minimum wage (i.e., the federal $7.25 per hour), thirteen are Republican.
• Weaker gun violence prevention laws and higher rates of gun deaths.
• Weaker protections for civil rights, including for LGBTQ individuals.

On the other hand, the thirteen states with paid parental leave all have Democrats in control. Notable differences between Republican controlled states and Democratic controlled states are evident in environmental, labor, tobacco, and, of course, voting and election policies.

As partisanship has grown, right-wing policy extremism has become a goal in and of itself. And Republican states, now abetted by the federal government, are actively trying to impose their right-wing policies on Democratic states. In effect, the U.S. now has a cold civil war among the states. [2] (More on this is a subsequent post.)

A case study comparing Oklahoma and Connecticut serves to highlight the differences in policies and outcomes. [3] In 1959, Oklahoma (OK) and Connecticut (CT) had nearly identical life expectancies and political and policy climates that weren’t that far apart. Between 1970 and 2014, researchers found that Democratic CT had passed the most progressive policies among the states, while Republican OK had passed the most conservative ones. Connecticut invested in healthcare expansion, paid leave, and tax credits for working families. Oklahoma cut taxes and its social safety net. Its 2024 state budget was 12% less than in 2000 after adjusting for inflation and population growth.

As a result, today, the gaps are dramatic:

Metric                                Oklahoma (Republican)                     Connecticut (Democratic)

Life expectancy [4]           61.2 years (47th in nation)                 65.9 years (7th in nation)

Medicaid expansion         Rejected until voters demanded it      First to expand after federal law passed

Minimum wage                 $7.25                                                   $16.94

Paid family leave              Not available                                      Enacted

Paid sick leave                  Not available                                      Enacted

Earned Income
       Tax Credit                  Not available                                      Enacted

Child well-being
        ranking (2024)          46th among the states                         8^th among the states

Food-insecure children    24%                                                     17%

Despite one of the highest rates of child food insecurity in the country, in 2024, OK rejected $48 million of federal funding to provide food to low-income children in the summer when free meals at school are not available. (Twelve other Republican states also rejected this federal assistance.)

OK has a part-time legislature, which has fewer staff now than in 1979. Therefore, it often relies on industry lobbyists to draft legislation and on model legislation from conservative advocacy groups like ALEC. For example, ALEC’s proposed bills to cut or ban health care services and other programs have been passed.

The comparison of OK and CT provides a stark example of the differences in state-level policies being promoted by Republicans and Democrats and the real and serious effects of these differences. It also underscores how important state policies and programs are, and reminds us all to set aside some time and energy to advocate for good state (and local) policies and programs. After all, they directly affect access to healthcare, paychecks, safety, and affordability.

For lots of good news, much of it at the state and local levels,see Jess Craven’s Chop Wood Carry Water blog’s most recent good news Sunday post here.

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[1]      Dayen, D., 10/7/24, “The cold civil war,” The American Prosect (https://prospect.org/2024/10/07/2024-10-07-cold-civil-war/)

[2]      Dayen, D., 10/7/24, see above

[3]      Thomhave, K., 10/7/24, “The chasm between Oklahoma and Connecticut,” The American Prospect (https://prospect.org/2024/10/07/2024-10-07-chasm-between-oklahoma-connecticut/)

[4]      World Population Review, retrieved from the Internet on 5/14/26, “Life expectancy by state 2026,” (https://worldpopulationreview.com/state-rankings/life-expectancy-by-state)