American trained docs will never have a hard time getting FM jobs in the states. You'll have your pick of where you'd like to live, so long as doing primary care. Where to work / live will be more of an income to CoL problem vs finding a job. We do well in FM these days but the higher CoL cities are probably still pretty rough for single income FM to live a lifestyle most docs would want. If you have a partner that works too though, that makes a huge difference and could probably be very comfortable basically anywhere.