I've worked downtown for a few years and I really don't think your comments are entirely accurate. I don't want to turn this into a back and forth but by no means would I say that it is downtown is dirty (there are some less fortunate spots just outside of the city). I ride the light rail RTA to work every day from ~20 miles out and consistently get to work at about the time. I don't ride the buses so perhaps that is the issue. I would agree that there isn't a lot to do but characterizing all of downtown as a parking lot is a little rough. Progressive, Key, AmTrust, Sherwin-Willaims, Parker-Hannifin, Eton are all Fortune 500 and in the area and have nothing to do with the medical industry.