The west in general could use more schools. I'm in NC right now where there are four med schools. I came out east because I'm from Washington, which means that it would have been very difficult for me to get into the vast majority of med schools in the west, which are in CA. We definitely have the population in the west to support more med schools, it's just that the cost is prohibitive to set them up. That is why the governments of idaho, montana, alaska, and wyoming all pay Washington to allow a certain number of their residents to get into school at UW.