In reference to the East Coast Vs. all other regions, of course the East Coast is going to be the most concentrated with talent. With so many choices of youth programs and youth coaches that have had spent a substantial portion of their lives playing the sport, your talent pool takes care of itself from the youth levels on up.

If you look at some of the "non-traditional hotbeds" across the country, you always have a succesful youth program that develops players with coaches who know to teach the most relevant and practical skills. Programs such as Brother Rice (Detroit), Upper Arlington (Colombus), Regis (Denver) all reflect this.

With youth programs popping up all over the country and Lacrosse' "Baby Boom" generation now coming back into their communities from College life, are bringing with them the knowledge they learned playing for high level club teams and the lower levels of the NCAA (III, II), it is only a matter of time before the present pee-wee level players from different regions are both competing at the same level.

The East Coast is always going to be the home of lacrosse, but nostalgia aside--the progression of the game is going to spread high level lacrosse westward until one day (except under title IX), it will be common place to see a Kansas V. Penn State title game at the division 1 level.

I'm from Indiana, so of course I have a bias point of view on this topic, but a claim that geography equals dominance is an outragious one, especially with the extaordinary rise in popularity lacrosse has seen since the mid to late 90's.