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.
As of January 1, 2014, 5 states (Alaska, Delaware, Montana, New Hampshire and Oregon) do not levy a sales tax, while California has the highest state sales tax rate at 7.5% (the territory of Puerto Rico has a higher 10.5% commonwealth tax that will be replaced by a value added tax in April 2016).