Yes, there's a sentiment that a province like PEI having a relative shitload of seats, and a shit load of representation in the house, and getting a bunch of money from the Central government sorts because they prop up the central government against western province interests.... while having far fewer people, far lower contributions to the country... is an affront to western provinces and is unfair within the context of equal representation that's meant to permeate democratic institutions. You're still harping on riding size and location, as though its rural vs urban -- but I already stated, that is tertiary to the point that was raised previously.
And dude, you literally just saw a vote/national issue spurred on by alienation / discontent over this sorta shit. You really gotta still ask these sorts of questions? Yes, a large group of people in western provinces view it as unfair that the maritimes, and eastern provinces in general, get what appears to be preferential treatment / more representation in federal politics. That's why they have separatist movements out west. The lack of seats, is tied directly to things like them saying Ottawa and eastern provinces are dictating things like climate policies without proper representation from western provinces at the table -- and the impact of those policies are often more 'negative' / damaging to western provinces. The basic principle is "If the West had proper representation in federal politics, reflecting the population size and GDP/Economic contributions, they'd be able to challenge / get better legislation for western province interests at a federal level". Even last night, the CBC commenters after the voting was done, were saying things like "Just watch, now that it's over, the Feds will likely disappear again and go back to punishing us with terrible anti-west legislation in the near future". That's the sentiment -- the west isn't represented, and by extension their interests aren't properly addressed.
And yes, the 'extension' of that is the obvious note that "Other areas of the country are over-represented compared to the West". One person gets given a fork and a plate with crumbs, the other gets a big ol slice of cake, and you're asking "Is that distribution unfair?? Why would the guy with the empty plate be annoyed at the guy with the cake??" Yes. Yes it is unfair. Even if it's the fault of the person serving the cake for the imbalance, the person getting fucked over will be pissed off, and will highlight the gaps in portions to stress how they're getting fucked over. The person getting that giant slice "SHOULD" be trying to make things fair, to get their fellow diner a proper serving -- instead they just eat their slice and tell the west to eat a dick, because any changes to how the person serving food divides things, needs to get approved by the people getting big slices of cake. And they don't want to give up their big slice of cake, even if they see other people leaving the restaurant, after waiting 50 years for a slice. The separatist argument is, in some ways, simply saying "Why should we keep waiting for these cake fuckers to treat us fairly? Let's just go somewhere else".
As an aside, I personally see no issue with saying something like "The maritimes should be amalgamated into a single province, and given the same general representation as other provinces of similar geographic size/economic clout/population - so basically, closer to 14 seats, like manitoba/sask".