I went on a road trip through Southern NM a couple years ago. Highly recommend stopping at Gila National Forest - it's a certified "dark park", remote enough from sources of light to see the Milky Way with the naked eye.
One thing that struck me - towns down there had a template. 90% of towns we drove through were just a blood plasma "donation" center, a dollar store, a gas station, and a cemetery. Very bleak existence out there, oil and gas boom notwithstanding.
I haven't seen anything like that. The biggest factor you can clearly point to is that NM has some of the lowest salaries for doctors combined with some of the highest medical insurance premiums.
If you live there, and don't agree, then I stand corrected. I was told this by someone that lives there, but that's a sample size of 1 (from Albuquerque).
The medical situation is getting worse by the year, though. I don’t think it’s just a matter of shoveling more dollars