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BEST PLACES

Updated 5/3/20

Discovering the Best Places to Retire with a Megalist

Someday soon, we are going to be in search of a marina. 

Do we have a boat?

No, we’re not quite there yet.  We still have to figure out if we should stay in the landlocked DFW area with the big skies and stackable highway (rollercoaster) interchanges or find a new state with the very best marinas. 

I have just started the process of researching our options and made a few spreadsheets that I thought might help you, too, if or when you’re in the same boat.  I began by taking a look at all of those “best places to retire” lists.  I figured that if someone else has been paid to create those lists with retirees in mind, then why not start there to generate my own list of favorites?  

If you know me, you know that I like to take things to extremes.  If one list is good, then why wouldn’t studying 12 of those lists be even better, right?  So, in the spirit of more is better (and the Office episode where Dwight puts 3 desks together and calls them a “megadesk”), I have created a “best places to retire” megalist by adding up the top picks from 12 “best places to retire” lists:

Megalist of Best Places to Retire

Region
Votes
Top of Megalist
Region
Votes
Bottom of Megalist
Southeast
34
Florida
Northeast
2
Rhode Island
Midwest
12
Wisconsin
Southeast
2
Kentucky
Northeast
10
Pennsylvania
Southeast
2
District of Columbia
Midwest
9
Iowa
Northeast
2
Connecticut
Southwest
8
Texas
Southeast
2
Arkansas
Midwest
8
Minnesota
West
2
Alaska
Southeast
7
North Carolina
Southeast
2
Alabama
Southeast
7
Virginia
Southeast
1
West Virginia
West
7
Utah
Southwest
1
New Mexico
West
7
Colorado
Southeast
1
Louisiana
Midwest
7
North Dakota
Midwest
1
Indiana
Northeast
7
Massachusetts
Midwest
1
Illinois
Northeast
6
New Hampshire
West
0
Nevada
Midwest
6
South Dakota
Southwest
0
Oklahoma
Midwest
6
Missouri
Midwest
5
Kansas
Midwest
5
Nebraska
West
5
Oregon
West
5
Washington
West
5
Wyoming
Northeast
5
New York
Southeast
5
Tennessee
Southwest
5
Arizona

When you take a long, hard look at the megalist, it raises quite a few questions, doesn’t it? 

1.  What Do The Megalist Results Mean?

Now that I’ve spent weeks studying the 12 lists, I have a much better understanding of their strengths and limitations for planning purposes for the following reasons. 

a.  The Megalist Reflects a Lot of Disagreement

First, people have a tendency to disagree over minutia, so it is even more difficult to find common ground over the question of where retirees, in particular, should live in such a huge country based on dozens of factors.  As a result, the 12 lists were all over the proverbial map with their favorites.  🙂  Only 2 lists accounted for 25 of Florida’s 34 votes.  In other words, Florida received 9 votes from the other 10 lists.

Only Oklahoma and Nevada did not receive any votes.  All of the remaining 48 states and the District of Columbia received at least one vote for being the “best.”  With respect to regional trends, 8 states in the Midwest were at the top of the megalist while 6 states in the Southeast were at the bottom of the megalist:  

Megalist Position
West
Midwest
Southwest
Southeast
Northeast
Top
5
8
2
4
4
Middle
4
2
0
5
3
Bottom
2
2
2
6
2

What about the states in the middle?  Most of the states in the middle tier were located in the Southeast or West.  When looking at the top and middle tiers together, the Southwest and the Northeast had the fewest votes.

So if 10 out of 12 lists aren’t pointing us in any particular direction, perhaps their utility is in what they don’t say.  Maybe they are more useful for flagging issues with the 14 states on the bottom of the list?  For example, I know that many of those locations are terrific places to live (and vacation) but might not be ideal for many retirees on fixed incomes.  Whatever the reason, I think that it is important to know what the experts consider to be deal-breaking factors when it comes to making their recommendations. 

b.  The Megalist Is Not a “Best Places to Live” List

Second, I learned that lists specifically focusing on the “best places to retire” are really not the same as the more general “best places to live” lists.  For example, the U.S. News & World Report’s top ten places to live list is not the same as its top ten places to retire list because factors like the job market, schools, commute time, health care, and tax friendliness are weighted differently for retirees:

Rank
USNWR Best Places to Live 2019
USNWR Best Places to Retire 2020
1
Austin, TX
Fort Myers, FL
2
Denver, CO
Sarasota, FL
3
Colorado Springs, CO
Lancaster, PA
4
Fayetteville, AR
Asheville, NC
5
Des Moines, IA
Port St. Lucie, FL
6
Minneapolis-St. Paul, MN
Jacksonville, FL
7
San Francisco, CA
Winston-Salem, NC
8
Portland, OR
Nashville, TN
9
Seattle, WA
Grand Rapids, MI
10
Raleigh & Durham, NC
Dallas-Fort Worth, TX

c.  The 12 Lists Employ Different Weighting Methodologies

Third, I learned that the 12 lists rank cities and states by assigning very different weights to three general categories of factors:

Weights (%) Assigned by the 12 Lists

Category
1
2
3
4
5
6
7
8
9
10
11
12
health care
30
N/A
19
5
high
N/A
N/A
25
N/A
22
15
N/A
housing
40
N/A
20
15
high
N/A
N/A
40
N/A
22
10
N/A
quality of life
30
N/A
61
80
moderate or low
N/A
N/A
35
N/A
56
75
N/A

Because I created the megalist to help us figure out where Howie and I might move after we downsize, I’ve been thinking that our own set of priorities might look more like the following: 

    • location of our favorite people:  ?%
    • health care:  40%
    • affordable housing:  30%
    • quality of life (as defined by me):  30%

Whatever the data show regarding the other categories, we would definitely be factoring in the locations of our favorite people.  Howie and I are from Massachusetts and our immediate family lives in Massachusetts, Rhode Island, Florida, and California.  We have moved to Connecticut, Virginia, and Texas, so we have some friends in those states, too.

As of now, our children have not relocated to another state(s), so we have an important unknown variable that we’ll call ED (for the first initials of their first names).  In making any final decision, I know that we would also factor in the location of the rest of our immediate family and close friends but, for now, we are not assigning any weight to this category.

With respect to health care options, I am inclined to assign 40% to that category for the following reasons.  If you are like us and were relocated by a company, you might have given very little thought to the health care system of your new city/state before accepting the position.  As we get older, however, our need for access to the best health care becomes more of a necessity.  Patients ages 65 and over accounted for 27% of all ambulatory care visits to physician offices in the United States and over 39% of all hospital stays.  How far do we really want to drive every month to see our doctors?  What if we have an emergency?  Will I really move in my 70s to be closer to better health care options?  In a perfect world, I think that I would prioritize health care over other “must-haves” when shopping for a new city/state.

I also decided to assign 30% to the affordable housing category.  We declined to join the “house poor” club in our prior moves and don’t plan on joining it when we retire.  As we discussed on the HOME-DECIDE page under “Budget,” housing costs are likely to be our greatest expense during retirement.  What you can buy or rent for the same dollar in each city and state can vary considerably, so it makes sense to be informed and strategic about your next hometown.

Finally, I decided to assign 30% to the basket category labeled “quality of life.”  In the 12 lists, they include miscellaneous factors that sum up a livability/quality of life category, such as:

    • economic situation/job market;
    • quality of life/wellbeing/happiness/livability;
    • climate/weather;
    • environment (clean air/water);
    • transportation/walkability/bike-ability;
    • population;
    • neighborhood and access to recreation, amenities, activities, culture, education (including colleges);
    • popularity/desirability/residents 65 and older/social-civic engagement; and
    • crime rates. 

Not everything in this basket category will be important to you.  I decided to identify my own set of priorities in the following order of importance:  

    • neighborhood and access to recreation, amenities, activities, culture, education (including colleges), especially a lake/ocean with a marina;
    • transportation, especially an international airport;
    • moderate climate/weather; and
    • popularity/desirability/residents 65 and older/social-civic engagement.

Which factors will be decisive for you and how you will weigh them, however, depends on your individual wants, needs, and budget.

d.  The 12 Lists Rely on Different Data Sources

Finally, before relying on any list, we should do our due diligence and peel back the curtain on the great and powerful data wizard behind those lists.  Do we really know why the state that we’re interested in has 0 or 34 votes?

Although not every list provided links to their sources, those that did relied on a wide variety of different data sources.  I felt that I could trust the results of lists that were the most transparent about where they got their data, how recently it was updated, and the methodology used to produce their results. 

2.  How Can We Find the Cities With the Best Senior Health Care?

While most of the 12 lists mentioned health care as being an important consideration for retirees, the lists assign different weights to the health care category and are based on different datasets.  I decided to focus on the best cities for this particular category because driving distances can be a huge factor especially in larger states, like Texas.  

Only 3 of the lists identified their health care ranks by city, so I decided to create a separate healthcare spreadsheet using (1) lists 5, 10, and 11’s top city picks for health care, and (2) 6 other lists’ top 20 city picks for health care and hospitals, including those hospitals ranked highly in geriatrics, cardiology/heart surgery, and cancer specialties because the leading causes of death in 2017 for adults age 65 and older were heart disease (25.1%) followed by cancer (20.7%).

Megalist of Best Places to Retire
Compared to Highly Ranked Cities for Senior Health Care

Votes
Top of Megalist
Votes
Highly Ranked Cities for Senior Health Care
34
Florida
12
New York, NY
12
Wisconsin
12
Boston, MA
10
Pennsylvania
11
Los Angeles, CA
9
Iowa
8
Baltimore, MD
8
Texas
7
Cleveland, OH
8
Minnesota
7
San Francisco, CA
7
North Carolina
6
Chicago, IL
7
Virginia
5
Rochester, MN
7
Utah
5
Philadelphia, PA
7
Colorado
4
Houston, TX
7
North Dakota
4
Ann Arbor, MI
7
Massachusetts
4
Milwaukee, WI
6
New Hampshire
4
Hartford, CT
6
South Dakota
3
Pittsburgh, PA
6
Missouri
3
Phoenix, AZ
5
Kansas
3
Stanford, CA
5
Nebraska
3
New Haven, CT
5
Oregon
3
Madison, WI
5
Washington
3
Indianapolis-Carmel-Anderson, IN
5
Wyoming
3
Portland, OR
5
New York
3
Seattle, WA
5
Tennessee
3
Durham-Chapel Hill, NC
5
Arizona

The good news is that 12 highly ranked cities for senior health care are located at the top of the megalist’s best states:  Wisconsin, Pennsylvania, Texas, Minnesota, North Carolina, Massachusetts, Oregon, Washington, New York, and Arizona.  Another 6 highly ranked cities for senior health care can be found in the middle tier of states on the megalist:  California, Maryland, Ohio, and Michigan.  Therefore, if health care is a top priority for you, you might consider a retirement location in the vicinity of one of these highly ranked cities.

3.  How Can We Find the States With the Best Senior Housing?

For us, however, health care is only one factor in the complicated decision of where to retire.  The other practical question is whether the area will be affordable based on our budget.  

I am going to stop right there and point out something that became painfully obvious when looking at the AARP Livability Index for each state.  There appears to be somewhat of an inverse relationship between health care and housing scores:  those states with the best health care are often the same states with the least affordable housing market.  For example, if you look at the two pictures below, some of the areas that are red with below average health scores are greenish on the housing picture:

Using 7 of the 12 lists, I created another spreadsheet to identify highly ranked states for senior housing:

Megalist of Best Places to Retire
Compared to Rankings for Senior Health Care and Housing 

Votes
Top of Megalist
Votes
Highly Ranked Cities for Senior Health Care
Votes
Highly Ranked States for Senior Housing
34
Florida
12
New York, NY
11
Florida
12
Wisconsin
12
Boston, MA
11
Texas
10
Pennsylvania
11
Los Angeles, CA
9
Ohio
9
Iowa
8
Baltimore, MD
7
Oklahoma
8
Texas
7
Cleveland, OH
6
Tennessee
8
Minnesota
7
San Francisco, CA
5
Arkansas
7
North Carolina
6
Chicago, IL
5
Pennsylvania
7
Virginia
5
Rochester, MN
4
North Carolina
7
Utah
5
Philadelphia, PA
4
Michigan
7
Colorado
4
Houston, TX
4
West Virginia
7
North Dakota
4
Ann Arbor, MI
4
Indiana
7
Massachusetts
4
Milwaukee, WI
4
Kentucky
6
New Hampshire
4
Hartford, CT
4
Louisiana
6
South Dakota
3
Pittsburgh, PA
4
Mississippi
6
Missouri
3
Phoenix, AZ
3
Missouri
5
Kansas
3
Stanford, CA
3
Montana
5
Nebraska
3
New Haven, CT
3
Alabama
5
Oregon
3
Madison, WI
3
Iowa
5
Washington
3
Indianapolis-Carmel-Anderson, IN
3
South Dakota
5
Wyoming
3
Portland, OR
3
Georgia
5
New York
3
Seattle, WA
5
Tennessee
3
Durham-Chapel Hill, NC
5
Arizona

If you are fixated on superlatives, your ability to pick the best of the best on a budget will quickly narrow itself down to the great states of Pennsylvania, Texas, and North Carolina.  For us, that might be great news because we live in the DFW Metroplex, but Houston’s health care offerings are still a 4 hour drive away.  Otherwise, it looks like some trade offs will have to be made.  

4.  How Can We Find the States With the Best Quality of Life for Seniors?

Once again, I created a spreadsheet to account for the basket category that we’ll call “quality of life” based on rankings of 6 of the 12 lists

Megalist of Best Places to Retire
Compared to Rankings for Senior Health Care, Housing, and Quality of Life

Votes
Top of Megalist
Votes
Highly Ranked Cities for Senior Health Care
Votes
Highly Ranked States for Senior Housing
Votes
Highly Ranked States for Quality of Life
34
Florida
12
New York, NY
11
Florida
11
California
12
Wisconsin
12
Boston, MA
11
Texas
8
Wisconsin
10
Pennsylvania
11
Los Angeles, CA
9
Ohio
7
Utah
9
Iowa
8
Baltimore, MD
7
Oklahoma
7
Nebraska
8
Texas
7
Cleveland, OH
6
Tennessee
6
Colorado
8
Minnesota
7
San Francisco, CA
5
Arkansas
6
New York
7
North Carolina
6
Chicago, IL
5
Pennsylvania
6
Minnesota
7
Virginia
5
Rochester, MN
4
North Carolina
5
Massachusetts
7
Utah
5
Philadelphia, PA
4
Michigan
4
Michigan
7
Colorado
4
Houston, TX
4
West Virginia
4
Maine
7
North Dakota
4
Ann Arbor, MI
4
Indiana
4
Iowa
7
Massachusetts
4
Milwaukee, WI
4
Kentucky
4
Idaho
6
New Hampshire
4
Hartford, CT
4
Louisiana
3
New Hampshire
6
South Dakota
3
Pittsburgh, PA
4
Mississippi
3
Vermont
6
Missouri
3
Phoenix, AZ
3
Missouri
3
Connecticut
5
Kansas
3
Stanford, CA
3
Montana
3
Hawaii
5
Nebraska
3
New Haven, CT
3
Alabama
3
Pennsylvania
5
Oregon
3
Madison, WI
3
Iowa
3
Wyoming
5
Washington
3
Indianapolis-Carmel-Anderson, IN
3
South Dakota
5
Wyoming
3
Portland, OR
3
Georgia
5
New York
3
Seattle, WA
5
Tennessee
3
Durham-Chapel Hill, NC
5
Arizona

Although there were few real surprises on the quality of life list, I plan on creating my own personal spreadsheet based on the factors that I deem important and weight them according to my own preferences.  Note that all but one state (Connecticut) on the list of highly ranked states for quality of life can also be found at the top or middle tiers of the megalist of “best places to retire,” which is understandable when you consider that most of the 12 lists heavily weighted the quality of life category.    

As you can see, only Pennsylvania scored highly on every list.  The other states scoring highly in three out of the four categories were Wisconsin, Texas, Minnesota, North Carolina, Massachusetts, Michigan, New York, and Iowa.

H+A Takeaways

  • The only purpose for considering a megalist or any “best places” list is to start a conversation about our own individual wants, needs, and budget.  The lists are more helpful if you use them as resources to spot significant pros and cons about a location especially if you look at the underlying data.
  • The states with the most potential to serve retirees well on the health care, housing, and/or quality of life fronts appear to be Pennsylvania, Wisconsin, Texas, Minnesota, North Carolina, Massachusetts, Michigan, New York, and Iowa.  
  • For our purposes, we might take a look at the cities/towns within a 60-mile radius of highly ranked cities for senior health care because they might be more affordable.  Assuming that all of those cities will have international airports, we could rule out the locations that do not have any desirable lakes/ocean access to narrow our list down further.  The other issue is that a lot of the highly ranked cities for senior health care are located in the snow belt, and we have been spoiled by the mild winters and lovely spring/fall weather in North Texas.
  • If what’s past is prologue, however, you could also look at where most retirees have been moving and follow the leader.  From 2014 to 2018, people ages 60 and older have been moving to Florida, Arizona, North Carolina, South Carolina, Texas, Nevada, Georgia, Idaho, Oregon, and Tennessee.  But those people probably didn’t have a megalist.  🙂
  • For future reference, I will add a table with the megalist’s top states to our HOME page with a link to this article.  H+A newsletter subscribers can also access the 4 spreadsheets referenced in this article on our CACHE page, so subscribe at the bottom of this page if you’re interested.  

Planning to create your own “best places to retire” list?  We have organized our research below to get you started:

Resized Research Image

If you found this article helpful, pin this image to your retirement board:

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