New rankings show Florida and Georgia are still near the bottom of the barrel when it comes to their residents' health.
Tallahassee resident Pam Williams says she was on the fast track to a heart attack.
"My cholesterol was rather high and the doctor was telling me some of the things that may happen if I don't take charge and make a change, so I changed my eating habits and getting into exercise."
The United Health Foundation says millions of Americans are at risk, as the nation's overall health has decreased 0.3 percent this year.
After four years in the bottom ten of the healthiest states, Georgia bumped up from 42nd Last year to 40th and Florida remains at 41st.
Tallahassee resident Jason Torof said, "I think a lot of it has to do with the elderly people that come here to Florida when retiring. I think their declining health has a significant impact over Florida's total average health."
The report suggests obesity as a big contributor to the decline in health. The foundation says more than 25 percent of Americans are obese, for Georgia 25.5 percent, and 22.3 percent for Florida.
FSU student Kerrie Donk said, "With all our southern cooking, we love our fried chicken, we love all that stuff and don't want to give that up. It's important to live a long life. You need to be healthy."
Other contributing factors include tobacco use and binge drinking. The study also factors in 47 million Americans who are uninsured. There is some good news. The U.S. News & World reports rates Capital Health Plan among "America's Best Health Plans."