Different climates. Western WA doesn't get nearly as hot... Though it's gotten worse recently. Even worse trends in Western OR. Can't compare Eastern OR which is literally an arid part of the region...
I would assume it’s the initial cost for many people. That and from many people I’ve talked to they just don’t seem to run very economically. I hear people with heat pumps spending 300-400 a month during the winter to heat their homes. We have our hydro on equal payments of $130 per month and then we mostly heat with a gas fireplace in the winter that adds another 50-75 bucks a month.
A few years back I had a health scare, my doc (naturopath quack) thought it might have been an infection (it wasn't). I took Azithromycin... That was horrible. I remember having high heart rates and skipped heartbeats. I quit that med before even seeing the doc again, it took around 3 months to fully recover. In the end I think my other issues were related to lifestyle. I'm taking care of myself better these days and I'm feeling normal.
I had the worst allergies to juniper and had hay fever for years. Worse in the early spring. So bad that I have to jump in the shower and wash that shat off after being outside for even 20 minutes. Nothing worked. I’ve tried about every otc med and the best was non drowsy Zyrtec. By it that just took the edge off but had a side effect of rapid heart beat or a skip here or there. So I stopped taking it and just deal with it for 2 months a year. Sucks and I feel your pain.