The idea of requiring a high salary is reasonable, but I'd make it rather e.g. 120% of the median salary in a particular industry.
If you can't find somebody skilled enough here to work for 200k or less, then you should probably be paying 200k or more since you're looking for a role that is niche and low supply.
This fee is a great way to ensure that there's very little medical services available to rural populations and to help kill science in the US among other things.
"My rural patients are so much more insufferable than my urban ones"
https://old.reddit.com/r/medicine/comments/1nkb8f9/my_rural_...
It seems that the reasons for missing doctors are... complex.
I retired from medicine, having spent my career at a well-known institution in the upper midwest of the U.S. Over the course of my tenure there, I took care of patients from all parts of the world, all walks of life. Some of my most cherished patients hailed from rural farm communities. Whatever that commenter’s issues might be, this doesn’t line up with my experience at all. The work of the physician is to tailor their work to meet the needs of the patient by understanding their needs in ways that may be difficult to discern through ways other than empathic understanding.
There was no prediction or conclusion made whatsoever, it was a number of for the Internet quite high quality personal observations. If you are unable or unwilling to accept the personal observations of those people, here doctors, then the issue is on your side.
We also know that there indeed is a significant difference in culture, we can see that in elections and elsewhere. That too is a "known bias", which you also ignore.
For example:
https://www.aspeninstitute.org/blog-posts/the-electoral-coll...
https://www.sciencedirect.com/science/article/abs/pii/S07430...
https://en.wikipedia.org/wiki/Urban%E2%80%93rural_political_...
So differences in general are real, and you cannot simply dismiss any anecdotes as "bias", especially since there never was a claim for that thread to be anything more than that.
This divide is also not the same all over the globe, the US may be more extreme (example: https://www.uva.nl/shared-content/uva/en/news/news/2024/03/t... -- "Compared to the US, UK and Canada, overall levels of urban-rural electoral divides are still substantially lower in most European countries, due to centrist parties attracting support from both urban and rural areas."). That too has some interesting comments showing this in that thread, with the bad anecdotes coming mostly from US doctors.