This is absolutely true. I live in Seattle and housing is a huge part of this equation. It's worth noting, though, that even here we still see a large need for low-paying jobs (many have in fact been recently deemed essential). I know we would likely not be able to gross as much in another region either.

Is it fair to say that low income earners in New York and San Francisco should move somewhere else to have kids? Will we only have McDonald's in Ohio?