Anyone see NBC news.. "EM in 'serious condition'"

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I wonder if it takes into account the number of metropoli in the state and population density. A lot of the states with poor scores have mainly rural towns with only 1 or 2 true cities. They are lucky if they have even 1 level 1 trauma center in the state which doesn't do much good if you live 2 hours away from it.
 
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