Honestly, the answer to all of those questions, for me, is "no" and I plan to move to a small rural town (<15k) very soon. I'm married and have children - but

Honestly, the answer to all of those questions, for me, is "no" and I plan to move to a small rural town (<15k) very soon. I'm married and have children - but we homeschool them, so the quality of the local schools is not a limiting factor. Healthcare is not nearly so different even in very rural areas as you've made it out to be, especially not when you have a tech salary to enable you to travel to a teaching hospital if the need arises. If anything, regular/preventive care is less expensive and higher quality with a rural family doctor. Uber and Lyft don't even make sense in a rural setting. My professional network is already spread across the country, so that's not really an issue. I plan to spend more time and money on travel for conferences and such. The only things we're really giving up are faster Internet access (we'll have 300Mb for ~$100/m, instead of 1Gb included in our rent) and food delivery services (which are too expensive to be using as much as we are, anyhow).