Yes healthcare is different. I have a NC license and go by both state practice acts. But compared to AZ medicaid is way too easy to get in these states and pays less. AZ allows people to buy medicaid plans for low premiums not just giving it away. Plus there even on min wage working part time, people don't qualify for free medicaid and food stamps plus they kick adults off rather fast unless long term care or certified disabled. It is different in cost of living here as well. It is way more expensive to rent or buy here. I am struggling to make ends meet whereas there we were saving money.