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I've lived in both Baltimore and Roanoke (and worked in the trauma centers in both) and must confess, I am stunned to see Roanoke with a higher FHR/100K than Charm City.

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Just a minor quibble: I wouldn’t describe PA as “deep blue.” Philadelphia and a handful of other cities are, but the rest of the state is very red. PA voted Trump in 2016 and Biden only won by 1.2% in 2020. We had a republican governor as recently as 2014, and both houses of the legislature have been republican controlled since 2011.*

Edit: My error: Democrats took control of the PA House in 2023.

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