Both my husband and I agree with you. But I don't think they even consider that they don't have the very best doctors. My sister-in-law works for one and they just think they're the best. We think they're killing him. If I have a chance, I'll suggest the teaching affiliate option. What about UVA?
Although I'm sure that UVA is a fine school with fine physicians my general attitude on the general subject is...
....the finest medical schools and,thus,the finest hospitals in the country are found in or near major cities. Cities like Boston,NYC,DC,Atlanta,Chicago,San Francisco...etc.
I understand that traveling great distances for medical care is difficult.The hospital where I worked routinely treated folks from all corners of the country...and the world....so I saw it up close.But if you can travel a few hours to be treated by a physician who's a Nobel Prize winner...or who trained under a Nobel Prize winner...then my attitude is "when do we leave?".Particularly with a serious or chronic illness.