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Denis Tangney Jr./iStock Is a City’s Health Tied to Its Wealth? Healthcare costs are rising, and we are going through one of the worst health crises in decades,” says Gonzalez. Megan Irby, PhD, a senior research associate at the Maya Angelou Center for Health Equity at the Wake Forest School of Medicine in Winston-Salem, North Carolina, says that a city’s health appears to be closely tied to its wealth. “Income is the strongest predictor of health in our country,” she says. Seven of the top 10 cities Portland, San Diego, San Francisco, Seattle, Honolulu, Washington, DC, and Irvine also topped Kiplinger’s 2020 ranking of the 20 most expensive U.S. cities. According to Data USA, the median household income in San Francisco is $112,376 dollars a year, compared with an annual median household income of $36,499 dollars in Brownsville. ....