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Independent of the medical profession, there is definitely a midwest thing. I have traveled a fair amount, and the culture in the US midwest is infinitely more polite, respectful, and helpful that that of the east or west coasts.

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You don’t fully understand Midwest culture then. You never say anything negative to someone’s face. You say it behind their back. Midwesterners are some of the most passive-aggressive people in the country. They’ll help you out of a sense of obligation then resent you for it.

I much prefer the coasts where you know where you stand.

You must be using a definition of Midwest that primarily encompasses states east of the Mississippi where snow plows are rare.

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