There are lots of places that are hours to days drive away from those two. Midwest is a big place, so what are you talking about? I guess you could say the talent is concentrated in a few places, but lots of places in the midwest with terrible hospitals.
I am sure the issue of talent being concentrated in a few places is a problem everywhere but it’s definitely more of a problem in the midwest; the quality of doctors and other healthcare workers there are noticeably worse than the east coast.