The color coding meant that there was only one county in upstate New York which stood out as long-lived: Tompkins county. Why? That's where Ithaca is, the home of Ithaca College and Cornell University. Education makes a difference. Maybe the best way to cut healthcare expenditures is to improve our education system?
[Updated with the url from the Rural Blog which triggered this post. Interesting how color coding and different metrics affect one's perspective.]