In my opinion it's a little odd that Des Moines is the entry for Iowa. Most of the ratings seem driven by employment opportunities and crime, with a smattering of tax issues. Des Moines seems to be rated low due to it's crime rate. I don't live in Des Moines, but, it's a big driver in economic growth. My experience with Des Moines is mainly from going to I-Cubs games, and the last 5-6 years have seen a boom in downtown growth, and I see a lot of new developments planned to reclaim former business sites. I take it the rest of Des Moines is a dump?
http://247wallst.com/special-report/2017/09/08/worst-cities-to-live-in-every-state/
http://247wallst.com/special-report/2017/09/08/worst-cities-to-live-in-every-state/