Nonalcoholic fatty liver disease is common and, for most people, causes no signs and symptoms and no complications. But in some people with nonalcoholic fatty liver disease, the fat that accumulates can cause inflammation and scarring in the liver.
In some states with no income tax to maintain solid revenue, like Alaska and Wyoming, spending is quite high. Wyoming spent $9,986 per capita in 2011, the second highest in the country. Alaska spent $15,663, by far the most of any state.
A statewide sales tax is levied by 45 states, and local sales taxes are collected in 38 states. Delaware, Montana, New Hampshire, and Oregon levy no sales tax whatsoever at either level. California has the highest statewide sales tax rate at 7.25%.