Money, it turns out, makes things way easier.
I don't think that many people stay in San Francisco for the quality of life.
Besides, as I said elsewhere, the benefits of living in the Bay Area aren't just that you may make more money, but how quickly you can advance your career. If you wanted to be making the big bucks in any of the big companies, working for a couple of years in the Bay Area will give you a much bigger chance of getting your foot in the door than working for 10 years anywhere else.
But more anecdata I guess. I'd be interested to see a real cost comparison between the areas and the salary differences. Like what are the Top 10 tech companies paying in less expensive real estate markets? What is the median salary there as well?