[ghaff]

It's not quite that bad. For example, the Boston area is arguably as good or better than those two cities. And some higher-income relatively small town/rural areas are pretty decent. But it definitely becomes a bigger consideration as you get older--although you can of course get unlucky at any time.

[whiterknight]

(desirable coastal cities with young people and vibrant entertainment)

[ghaff]

It's a lot more than that but, as you get away from at least medium-sized cities, things get scantier especially if you need specialized care.

[TylerE]

It’s a problem in the medium sized cities too? Because many of the smaller rural facilities are being closed down (often in the wake of for-profit buyouts), and then all those displaced patients overrun the remaining facilities in surrounding towns.

[whiterknight]

Are we saying anything different?