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i think its because GOP constantly attack healthcare funding, or it scares away potential health employees from working in those states, thats why they dont go to the red states, plus, they are now so desperate they are willing to pay MDs and some nurses to work there some bank apparently. i dont think they care about getting promotions, if thier COL is met, in many places they are making bank from just working shifts in the region(travelling nurses). i notice obesity related clinics(surgeries, do make bank there because the south is so overweight). seems healthcare quality in the south is quite lacking in non-affluent or blue areas.
My personal take is that since doctors are all paid commensurate with the cost of housing, they can go literally anywhere they want.
I’ve noticed over the years that here in AZ, many doctors here long term are centrist politically, unless they’re working for an aid organization like the AIDS foundation or a clinic that caters to the “needy”. Those that live here, want to live here. That said, the ones that aren’t in love with AZ dip out with no warning lol. Me personally, I’d move to Cali with zero hesitation. When abortion was momentarily made illegal here a few years ago, doctors just fucking left, mine included lol.