Considr Austin TX, the 3rd largest computer tech startup hub in US (read: the world). Programmers are NOBODY here, they're disposable code monkeys, and literally all startups I personally was involved in were started by polished and sleasy "MBA types" who regularly push engineers aside and have pictures of M3s and Porsches on their personal blogs. Needless to say, all local startups are a joke, (I won't point fingers). Local investors are (for real) interested in seeing your 10-year financial projections, P&L and all that other useless crap. When I told that to my SV-based mentor he laughed his pants off.
If Austin is like that, I can only imagine how pathetic the rest of the world is, and how hard it is for them to get Paul's points.
If Paul is not exaggerating, SV is truly unique and everybody with a CS degree should be moving down there. And working for Yahoo/Google/Facebook in SV is truly a huge waste of your life.