> As an American who grew up in one of these underserved markets, you couldn't pay me enough to work there.

Eh I think this is sort of BS. First yes literally you could be paid enough. Everyone has a price, including you, and you’re not fooling anyone. Second you can find arrangements that perhaps enable you to spend a few years doing what amounts to public service in exchange for maybe no debt or higher pay and then move on - this is a very common thing in the labor market.

Also, what does that say about you that you hate being around your fellow countrymen more than someone from outside of your country?