Everywhere? No. But it is commonly the case that the jobs are in one place, and the "good towns to raise a kid in" (schools, parks, low crime, or even just affordable housing suitable to raise a child in) are in others. Sure, perhaps when you've made your way up in your career field, you can go into a smaller/private practice of some sort (thinking law, finance, medicine here), but typically, for a lot of white collar fields, you start off in larger institutions, which typically means cities.

Could this change with the growing use of remote work? It could. Whether it does or not though remains to be seen.