Indiana
The practice environment in larger cities in Indiana is very pro-physician/anti-CRNA in some of the major hospitals since Indiana is the house Stoelting built. Malpractice environment is generally good with a physician panel viewing and voting on whether there was malpractice prior to cases going to trial- this knocks out many frivolous lawsuits. There are caps on malpractice awards unlike in other states like Florida. Asset protection laws are not as good in Indiana as in some other states (e.g. tenancy in entirety ownership of property has no meaning in Indiana).
The major downside to living in Indiana is the bone-chilling depressing cold weather in the long dark winters followed by a scorching hot summer. Fall and spring are nice, but short seasons. It snows in Indiana- a lot in some places, and the amount is not a mere inconvenience: it is a lifestyle dictating occurrence that causes cancellations of many events and cancellations of surgeries when patients cannot get into the hospitals. South Bend gets 67 inches of snow each year and most of the cities in the rest of the state get 20-35 inches per year.
Culture? Well there is some in Indianapolis and near Louisville, but otherwise culture may be a tractor pull, a county fair, or dirt track racing. Smaller cities participatory team/group sports for adults are limited to bicycling clubs, softball leagues, and sporadic soccer clubs or volleyball leagues. Road bicycling is difficult in the winter due to the sand and gravel dumped by the county on their roads. Most people in Indiana get very little exercise at all.
Colleges located throughout Indiana are frequently extensions of the IU/Purdue system or Ivy Tech system. Notable exceptions include Butler University where basketball rules in an inner city Indianapolis college that is very expensive, Univ of Evansville located in a nice middle sized city that is isolated far away from the rest of humanity in the middle of corn fields, Rose Hulman that is an outstanding engineering college located in a pit of a town Terre Haute, and Notre Dame that is revered but is located in the permafrost of South Bend.
Indiana ranks 7th nationwide in obesity with entire families being obese from elementary school age throughout the rest of their lives. 33% of the population is obese or morbidly obese, and another 33% are overweight. The population is largely sedentary in Indiana, and all-you-can-eat restaurants are frequented by entire families. This makes for a very unhealthy population with diabetes, knee and hip arthritis, and heart disease complications creating surgical and anesthetic opportunities. Bariatric surgery (frequently ultimately fails) is rampant with more bariatric centers in Indiana than there are plastic surgeons in South Beach. But it also makes for a very unhealthy environment for your kids since corpulent is the norm, with poor dietary choices (but in massive quantities) being pervasive.
There are but a few jewel cities in Indiana including Carmel (pronounced like the candy, not the California seaside city), Fishers, and Zionsville, all suburbs of Indianapolis. Bloomington is where the main campus of IU is located and is a vibrant community. Many moderate or small cities are industrial rustbelt residual cities whose fortunes rise or fall based on one major factory. Indianapolis the city, has a major crimes rate in the top 20% of the country with a relatively high murder rate (drug related) of 17 per 100k population but this is less than 1/3 of that of Baltimore or Newark. Gary Indiana is a cesspool with an active gun running trade to Chicago. Anderson, Warsaw, East Chicago, Kokomo, Lafayette, Hammond, Elkhart, Jeffersonville, Terre Haute, Seymour, Scottsburg, Greensburg, Clarksville, and many others are small-moderate sized cities that leave much to be desired from a lifestyle standpoint since they are rusted out shells of cities, some of which seemingly have no zoning laws at all.