are any of the US states actually free anymore in terms of medical freedom of choice, educational freedom of choice and other basic freedoms

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Idaho is your best bet

how about Tn

better medical freedom in Idaho

None of the states are perfect so it really depends on your exact set of needs. My word of advice is to never get too attached to one place. The government feeds on people who want to settle down and not move, by slowly erroding away what little freedom they might afford you at first to get you in as time goes on. Best of luck in your search.