That elitist ny mindset is something else
like a high school graduate from there can just walk into a Houston hospital like "yo, Dr. Bailey, step aside, B. I'm from BX, I got this".
No, but my guess is that that doctor's counterpart from NY has better credentials, works at a better hospital and is more qualified. I can only speak for the corporate world, but my equivalent working the same position as I do in Houston definitely isn't exposed to as substantive work as I am daily, and probably doesn't work as hard as I do either.
In sum, his life might be easier than mine at the moment--cost of living is lower in Houston, he works less, doesn't have to deal with this terrible weather in NY. But I'm pretty sure that if I ever decide to call it quits here, I can go over there (and to most places) and land the same gig pretty easily where he have a significantly more difficult time lateral-ing into a NY gig.