Life expectancy in the United States by state (2009 statistics):
Hawaii has the longest life expectancy among the states, so maybe Obama thought it isn’t normal for people to drop dead young the way they do in South Carolina. (About a fourth of South Carolinians lack health care insurance, and the local elite is committed to keeping it that way).
With the exception of Utah, there is a pretty strong overlap between lower life expectancy and deep hostility to the Affordable Care Act. Those who need it most are most opposed to it.
Know what that is called? Fatal stupidity.