People from my hometown (pop. ~7500 in Midwest), do not realize that they are falling behind at an almost exponential rate. Many are working jobs that require common training, they do not continue their education, and they spend far too much time behind screens in the form of entertainment. And, even for those who want to continue to learn, they do not have access to a nearby tech meeting hosted by a top firm speaking on the state of the art. If you're not in SF or NY, then you do miss out on a lot of opportunities per people and shared information.
* I am personally ashamed to say that I only realized the power and advantage of networking in recent years.