Originally Posted by Jeff_O
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"Intellectually and emotionally weakened by years of steadily degraded public discourse, we are now two separate ideological countries, LeftLand and RightLand, speaking different languages, the lines between us down. Not only do our two subcountries reason differently; they draw upon non-intersecting data sets and access entirely different mythological systems."


this would be my point exactly, but not using the same words. i see it as an urban vs. rural divide. it's not quite that simple but is approximate.

the rest fits in to, urban raised young MD's might not feel all that comfortable opening new practices in rural areas, for a variety of interrelated reasons.

unfortunately there's lot's of folks that believe fervently that gov't regulation must be a part of the solution. lot's of folks are demanding it.