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4. Alabama

Median household income: $41,574
Population: 4,822,023

Gallup ranked Alabama the second most religious state in the U.S. earlier this year, but the state clearly has issues with moderation. Not only is it poor but it's tragically unhealthy. In statistics presented at the 14th Annual Rural Health Conference, The Cotton State leads the nation in diabetes, is second in obesity and third in hypertension.

Things are just as bad for its youth. Only two other states have a worse ranking for children living in poverty and infant mortality.

Over the last seven years, the median income in Alabama was consistently $10,000 or more below the country's average. Only Mississippi ranked worse than Alabama in credit card delinquency in 2012, according to TransUnion, and that dubious title remained consistent through the first two quarters of 2013.

The editorial board of The Anniston Star in June blamed the lawmakers. "Alabama likes to run its government on the cheap, and we've got the bad infrastructure, loose regulations and weak social safety net to prove it," it wrote in an editorial.

The Public Affairs Research Council, using estimates from The Institute on Taxation and Economic Policy, said: "The lowest 20 percent of income earners in Alabama pay more than 10 percent of their incomes in state and local taxes. In contrast, the top 1 percent of earners in Alabama pay just 3.8 percent of their income in state and local taxes."

This is in part because Alabama relies heavily on sales taxes as a way to raise revenue due to the fact the state has the lowest property tax in the nation.

Sean Pavone | Flickr Open | Getty Images