Minnesotans have the second longest life expectancy with an average of 81.1 years. The state has low rates of infant mortality and cardiovascular disease and high rates of health insurance and exercise. Though the seasons are extreme, residents are active and spend a lot of time outdoors. The numerous lakes provide many opportunities for swimming and kayaking. Bike paths are well used, and in the winter, people break out the skis and skates. In 2007, smoking was banned in all bars and restaurants. Additionally, the top-ranking Mayo Clinic is based in Rochester and partners with the University of Minnesota for medical research. At one time Minnesota ranked even higher, but cuts to public health funding caused a drop. Minnesota, however, struggles with the fifth highest rate of binge drinking and one of the highest levels of alcohol poisoning deaths.