Joseph:
“instead of being a cosmopolitan Jew, try living like a shtetl Yid.”
Not sure what you want. If I lived in the shtetl, and had ch”v a medical issue, I would not seek help from the rov, shammes, shneider, or vasser treiger. I would do as most would do, travel into the city, and consult with a professional.
What do you mean by cosmopolitan Jew?