This is a ridiculously false dichotomy. Plenty of folks in the midwest/south/appalachia/dakotas/etc. don't give a shit about their communities, and plenty of people in dense coastal cities care deeply about the people around them. And vice versa (as you noted).
Weekend (or, anyways, short) vacations to Paris are a thing. On the other hand, they are also super cheap historically speaking ( Paris, stay in a hostel and it's Also, I have back issues from sitting all day and he has back issues from standing all day. He should wear a brace. I should get a standing desk. We are both too dumb/lazy to change and will probably both regret it in 10 years.
So. Rich laborers spend too much on stupid stuff and all humans have health issues. News as 11.
Furthermore, the modality of caring differs, and this causes a blindness to others' generosity. The average rich person in SF who cares about their neighbors is extremely unlikely to exhibit that care via churches, but might take in a homeless LGBT youth and donate 20K+ to various humanitarian/environmental orgs. Similarly, the average rich person in rural GA who cares about their neighbors is extremely unlikely to exhibit that care by voting for progressive policies or by offering to shelter LGBTQ youth, but might donate 20K+ to their church every year.
Those groups are invisible to each other because they each think of "civic engagement" in terms of their own preferred modality, not realizing that there are other ways to help.
(Tangentially, people from the "interior" refer to themselves as "midwesterners", "appalachian", "southerners", "mountain states", or, more commonly, just by their state or even region within their state. I've literally never heard anyone from anywhere outside of Boston/NYC/SF refer to that part of the country as the "interior". Where in the "interior" do people actually refer to themselves as being from the "interior"?!?!)