The point I am trying to make is that you can still be in the NYC orbit and maintain a reasonable cost of living. It is possible. I am presenting an option for someone who wants to be in NYC instead of has to be in NYC. If you have a spouse that has to work in NYC then hopefully his or her salary is high enough to offset some of the increased cost of living. I am not denying that the suburbs close to NYC are exorbitantly expensive, either. That’s why I don’t live there.
I’ve never commuted to NYC from suburbs...nor do I want to. Most jobs for anesthesiologists are terrible in NYC anyway, so why would you? But on a Saturday, you can get to NYC from pretty far north, south, east, and west in under an hour. Again, weekday commuting is a different story. I grew up in nyc suburbs, so I have some familiarity with the school district thing. I think it’s over-hyped. Again, that’s my opinion. My parents now live around 50-60 miles from Manhattan and I can be in midtown from their house in exactly an hour on a no-traffic Saturday (train would be about an hour and a half). My parents live on an acre and their house is probably worth around 500k. They also live in an area where the realtors go nuts over school districts. I think it’s hype.
My point is, if you are struggling to live comfortably on an anesthesiologist salary in NYC metro or any similar area, it’s time to re-examine some things.