I moved to Reno 9 months ago and like it. I use the Renown system and have had good experiences all around (x-ray, vascular, urgent care, primary care). I work at another facility in town. Even though Reno is known for gambling it is very close to Tahoe and the city is big enough that you dont have to be exposed to the tourist, gambling parts unless you want to. Lots of great restaurants, shopping, etc.