I mostly agree with the OP but what about money? Most probably any tenure track AP job that pays !00K+ is a job at a Ph.D granting US department. In order to survive in these places, you will need at least 2-3 top field publications. You can go to a place that nobody has ever heard of but you will make much less. Is there a place which pays 100K+ and let you to survive with a MD publication instead of a JME?
Old post applies to new time. I am a fresh PhD and got a job offer from you-never-heard college. The school is so rich that they offer me 105k for first year. Their senior AP makes 120k to 140k. I will reach tenure bar in 1-2 years based on my pipeline and their standard - then I will wait for the clock and spend 40 hrs a week hiking.