I can always count on you to start making idiotic points that let me know that you have progressed into "arguing for argument's sake" territory. Of course the doctors are better in wealthy urban areas. Which rural areas do you suppose have the better doctors, the rich ones or the poor ones? Do you imagine Greenwich (Ct) Hospital has a decent staff?
The point remains: The best doctors tend to be found in urban areas. Now stop wasting our time. It's ok to be wrong occasionally.
:)
But they often do very well with what they have - sometimes better than what urban hospitals do with many more resources.
With some regulatory changes they might be able to do even better.