I wonder how many of us can relate to your remark "I moved to this community a very long time ago and I am still considered an “outsider” because I wasn’t born here"? I never really thought about that as a reason why doctors and other professionals leave remote communities, but I am sure it applies. Perhaps as larger health systems become more prevalent in Minnesota, they can build a "circuit rider" model, where specialists rotate to underserved areas a week or two at a time. When I worked for the Feds, that is how we served the "outstate" posts.
Sue