In both types, the heart isnât pumping blood as efficiently as it should. The main difference is that cyanotic congenital heart disease causes low levels of oxygen in the blood, and acyanotic congenital heart disease doesnât.
The following states offer health insurance to legislators but describe it as optional at legislator's expense -- Nebraska, Nevada, New Hampshire, New Mexico, Vermont and West Virginia. In addition, South Dakota and Wyoming do not offer health benefits to legislators, but do cover legislative staff.
Massachusetts stands out as the No. 1 Best State for health care, by all these measures â Hawaii No. 2. Among the other top-10 states for health care are some of the smallest, including New England neighbors New Hampshire, Vermont and Rhode Island. The top states also include the biggest of all â California â as well as Midwestern Minnesota and Northwestern Washington state.