Would I move back there today? No way.
Double-down ditto.
This is not just for medical doctors. It's also for engineers and Ph. D.s in the real touchy-feely sciences. NY State is no place for conservatives or entrepreneurs.
Why Western New York State, especially Southern Tier locales? Because that's the only place where you'll find the remaining, slim bands of conservatives. They take the biggest hits from Albany.
(A former Southerntiersman)