But if you build a new facility, bring in more out of town patients, and bring in more money, that is probably also opening up some positions that will get more impressive resumes sent in from out of town and less leaving town.

Two of the states with the most and the best sports medicine facilities are Florida and Texas. Why you may ask? No state income tax. As long as that is a factor things are not going to change.

The state income tax in Louisiana is 3%. They could just pay them 3% more.

Also, according to this study the overall state and local tax burden is essentially the same in Louisiana and Florida, and only 0.5% lower in Texas.

https://taxfoundation.org/data/all/s...by-state-2022/

So, you are saying the money doesn't matter. Okay. Why would they want to move then?

You are the one saying money doesn't matter, that it doesn't matter what their paycheck actually is or what their expenses are. You are saying the mere existence of any amount of state income tax, over all other types of taxes and all expenses, is the only factor when you say "as long as that is a factor things are not going to change." You are making it ideological in opposition to one particular tax, not about money. I am making it about money.

The actual impact of a 3% higher state income tax on athletes is less than 3%, because athletes in zero income tax states face typically face higher sales, property, etc taxes, they still pay state income tax for the road games which are half their schedule, and they can't deduct those other state income taxes from their state income taxes if they dont have any to deduct from. Plus, whatever amount more they do pay, likely well below 2%, can be deducted from their federal taxes. The real total taxation difference, as the study I linked shows, is more like 0.5% between Louisiana and Texas, and that is for full time residents, it would be even less for those who spend half their time on the road in other states.

But why even pay 0.5% more? Well thats why I said we should offer them more money. If you make 10 or 20% more salary but pay 0.5% more taxes, you come out ahead, as hard as that is to grasp.

Also, quite a few championships have been won by professional franchises in states like California (Lakers, 49ers, Warriors, etc), New York (Yankees), Massachusetts (Patriots, Celtics), and Illinois (Bulls). Although their taxes were higher, they also paid their doctors more, so their doctors didn't all move to Florida and Texas. If Florida and Texas had the key to winning championships, its kind of a mystery why only 1 of 5 NFL teams in those states has appeared in a super bowl in the last quarter century.

Don't feel like reading that drivel. Just saw something about states and ****. LOL. Keep your little dreams alive. Whatever. Basically you are giving an argument that there is no correlation between quality sports medicine and winning championships by location. Just an excuse to ramble, my friend.

If it's Ochsner hospitals they are filthy. I sold them medical supplies back in the 80's and Mercer was rampant.

Basically you are giving an argument that there is an absolute correlation between having no state income tax and winning championships by location and that makes absolutely no sense when you take a second to compare the two lists.

Better doctors make a difference, but if double figure state income taxes don't prevent California, New York, and Mass from having good doctors and winning rings, 3% state income tax doesn't prevent Louisiana from having good doctors and winning rings. Gayle just needs to write them a check that makes up for it.

Overall, New Orleans seems to have team doctors with a worse track record than others teams. The pay they offer, the facilities they pay for, the ranking of medical schools, and taxation could all be factors. Taxation is probably the lowest factor. Its hard to come up with a Harvard or Stanford over night. Paying more and buying facilities are probably the biggest and most achievable factor. It seems like they are buying some facilities, and I would expect those will come with some more prestigious and high paying positions, enough to make up for very small tax differences. Or they could just hire doctors from California or New York, who would be getting a tax cut.