There is an interesting study that looks at the counties clustered around where NY, PA and OH meet. Ohio takes a Leave Me Alone approach to smoking. NY takes a very pro-active anti-smoking approach. PA is in between. Decades ago incidence of lung cancer was the same in those counties. Now there are big differences. Public health policy matters. Yugely. Other policies on things like education matter. Yugely.
I'm not saying that blue states are perfect. Hochul should be trying to make sure that young talented people want to come, stay and contribute to the economy of her state (i'm not sure she can do much about the folks who have made it and now want to retire somewhere warmer and cheaper). But 7 years extra of life is a yuge thang. It more than offsets a lot of thangs blue states dont get right. And it is worth paying some taxes for.