Iowa is ranked 4th as one of the most challenging states for people to retire in. According to a recent study by Sell My Timeshare Now, house prices in Iowa have gone up about 240%, which makes it difficult for those with a fixed income to afford housing. The study also said property taxes are among the highest, with Iowa residents paying an average of $2,934 annually. With medical expenses averaging $9,789 per year, healthcare costs in Iowa pose a significant burden for retirees, the study said. According to the study, Mississippi, Alabama, and Idaho were the top 3.