I didn't interview in Kentucky, so I can't comment on the programs there. However, I did extensively interview in both Ohio and Michigan.
The only solid programs of any consequence in both states are the University of Michigan, Ohio State, and the Case Western Reserve program at University Hospitals of Cleveland.
Unfortunately, a lot of the other programs in the area have major flaws. One poster in one of the other threads here hit it right on the nail regarding the Cincinnati program. The Cleveland Clinic program offers average, at best, basic training in anesthesiology; it's where you want to go if you want to do a fellowship. Both Detroit programs had faculty and resident issues. Toledo had hospital problems and Metrohealth suffers from a likely undeserved, but notorious reputation.