To be honest, I'm surprised this isn't happening more. I remember a study which suggested that a $200,000 Manhattan lifestyle could be purchased for $38,000 in Fayetteville, NC. $38,000 in North Carolina is a plausible achievement for a person without a degree. Can't say the same about $200,000 in Manhattan or the Bay
Out of curiosity, do you have a source on that cost-of-living figure? It seems a bit exaggerated to me. Home ownership is absurdly difficult in certain areas (average home price is $3 million in multiple cities in Santa Clara County, CA) so I could see a lot of disparity due to housing costs, though I'm sure the person earning 200K in Manhattan/Bay Area probably would buy more 'upscale' goods - cars, food, etc. - in other respects than the Fayetteville resident.
It's not just the housing costs. for example, gas prices are usually one-third lower around here than in California. Moreover, in addition to already low costs, the inflation rate is lower here. (In the period 1990-2015, inflation averaged about 1% lower per year in SC vs. CA.)