But in terms of the human toll of state-induced famine and other official forms of brutality, the millions of lives lost under Kim Jong Il's reign in North Korea rank right up there with the killing fields of Cambodia's Khmer Rouge.
Those kinds of increases exact a heavy toll on state budgets, as states share the cost of the Medicaid program with the federal government.
Cintra, a toll operator based in Spain, is the lead company in three large Texas toll projects, including the state's first privately operated toll road, a segment of State Highway 130 from Austin to Seguin that opened in October.
Cutting tolls is good politics but not likely to compel the bridge company to act; the existing toll rates of $3.50 for out-of-state drivers and $1.50 for locals is in line with peer structures and allows the bridge operator to maintain the property while making a profit on its investment.
You can also call the Secretary of State toll-free voter hotline, at 800-345-VOTE, to request that an application be mailed to you.
As the death toll mounted, with US secretary of state Hillary Clinton accusing the government of killing 2,000 people since March, international outrage has grown.
Flooding in India caused devastation, and a death toll of 6,000, in the state of Uttarakhand.
Ahead of his visit to Israel on Monday, Trump also mentioned Hamas in his speech: "The true toll of ISIS [the Islamic State of Iraq and the Levant], al-Qaida, Hezbollah, Hamas, and so many others, must be counted not only in the number of dead; it must also be counted in generations of vanished dreams".
The death toll released by Jorge Gomes, the secretary of state for internal affairs, has gradually climbed from the 19 initially announced late on Saturday.
The nagging controversy surrounding her handling of emails from her time as secretary of State has taken a toll.
The rest of state spending comes from tolls, vehicle registration fees, bonds and other sources.
