38. Pennsylvania
Best: Big cities (Philly, Pittsburgh) with a lot of culture, interesting people, good food etc.
Worst: Small minded people, violent people, pollution.
Pittsburgh is surprisingly nice. Philly is not unless you stick to very very specific areas. Uh, we don't have a pollution problem. That'd be New Jersey. I wasn't aware we had violent people any higher than normal. Small minded people? About the same as anywhere else.
Sounds like list was made by someone who didn't know much about the states in question.