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Indirectly, this is also a vote for OBGYN access. Doctors aren’t required to evenly distribute themselves across the states, they choose.
If they know they can’t follow through on the best care for their patients, whatever that looks like, that doesn’t incentivize an OBGYN to choose Cleveland over other places.
If you have a good doctor in a city dubbed the mitsake on the lake, it's probably best to not vote them out of state.
Unironically Cleveland has some of the best health care in the world.