Here are some core takeaways:

States that imposed more restrictions such as stay-at-home orders and mask requirements did experience lower rates of death and hospitalizations. But they also tended to have worse economic and educational outcomes.

States whose economies are heavily dependent on tourism suffered the most economically, with Hawaii and Nevada hit hardest.

No state did well in every policy area.

Overall, rural states tended to fare better than more urbanized states on economic and educational outcomes. Many rural states, despite being less densely populated, ranked poorly in health outcomes, however.