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Depending on what type of medicine you're wife is interested in, she may want to avoid SF for completely different reasons.

I had a roommate who was an ER nurse. She worked shifts at an SF hospital and also commuted over to Oakland (Highland) to work shifts for lower pay. I asked her why she'd drive all that way when she could just pick up more shifts for higher pay in SF. She said the experience she got in Oakland was so much more valuable. In SF, it was lots of concerned parents bringing in their children because they'd had a fever of almost 100F for over an hour! At Highland, it was gunshot victims, illegal immigrants with obscure tropical diseases and just a much larger variety of medical needs. She claimed that on a per hour basis, the experience in Oakland was 10 times more valuable than in SF.

So not only is the city pricing itself out of existence, as you mentioned, but it's pricing itself into a monoculture that takes away a lot of the diversity of the people there. And doctors might want a bit more of that diversity during their training. Then again, if she's studying for a specialty in treating carpal tunnel syndrome or interested in doing Lasik surgery, there's probably no better place on earth to be :-)




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