We agree on most things. SV is close to everything but doesnt have the things I look as part of the community. You just have to be willing to drive somewhere else which I not. I can drive to beaches I love in less than 5 minutes and can always find a place to parke easily which isnt the case down south.
The one major exception I take is Scripps Hospital being tops in the country. It is abysmal. Both my wife and i have extensive experience in health care and know what we are talking about. They almost killed here twice and she is lucky to be alive. If we were the type to sue, my name could be on the building instead of Scripps. When we came back for the birth of our second child everyone their remembered us and thanked us for not suing them. Quite frankly they couldnt believe we didnt. The utter disregard for even basic infection control procedures was horrifying to us.
Access to high quality health care is one thing we all give up living in SD and most of the west coast for that matter. Should I ever require anything beyond basic healthcare, you will find me on a plane heading back east to one of the Top teaching hospitals found in several cities.