And not all do make more, my previous company paid engineers that worked out of the SF office more, but few companies that have tried to hire me in San Jose are only offering me 10-20% more than I make in Portland and the market here is as hot or hotter there.That's the kicker with medicine: I wouldn't make any more than I do here if I lived in SF yet the housing price would be that much more. Doctors make more in the boonies and comparatively less in the cities, unlike every other field and opposite to cost of living patterns.