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Would you rather live in a big city or a small town?
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I'm two minutes away from the best doctors in my country. A rural person is found 30 minutes too late by his neighbor who calls his brother in law before 911
Maybe in some places, but I think most small towns of 10k and larger have normal hospitals and EMS services. All the places I have lived have been within 10 minutes of the hospital.
I dont really see much of a benefit to big cities, its a quick helicopter ride if someone is going to need extreme medical care. As long as there is a Costco, Home Depot, and walmart, I am all set.