Have you commuted or driven around NYC or LA? Unless you live in the same neighborhood, your commute to the hospital is already going to be 30-60 minutes. Not to mention that of the top hundred hospitals in the country, only a handful are in NYC or LA.

One could make an argument that living in rural areas is worse than urban ones when it comes to access to top medical care, but that has nothing to do with the NYC/LA vs. the rest of the country.