The unfortunate reality is that a lot of doctors are also narcissistic capitalists, they will stay in Texas due to the low tax rate.
Only way around it is to reduce the barrier to entry-aka cost-of medical training. It’s almost limited to just the wealthy, if you can’t drop $150k+ on school, you don’t have a good chance of being a doctor.
So you have lots of doctors who were born wealthy, never struggled, had their education bankrolled, then graduate and have a hyper inflated self worth.