How to invest in expensive markers?

[Roy Gottesdiener]

I'm wondering how people invest in markets like Raleigh, Austin, Jacksonville etc where median prices are 300-400k and able to cash flow. I invest in areas in NC where an average deal would be 130-150k and rent at 1300-1400, then when I cash out I'm left with a couple hundred dollars.

At the higher price points assuming you use leverage it ends up in negative cash flow, even before the crazy rate hikes we saw recently. So curious how do people invest in these areas at scale and if I'm potentially missing something.