Can only speak for myself but I have several groups of people I've met online 10 or 20+ years ago, chat with online ranging from daily to weekly, and about half

Can only speak for myself but I have several groups of people I've met online 10 or 20+ years ago, chat with online ranging from daily to weekly, and about half of them I meet in person once to several times per year. No clue if it's objectively a healthy relationship, but I'd say so. Obviously I'm not young anymore, and it should not matter I'm not in the US - but I don't see a meaningful difference here, because whether you can form these types of relationships today is a different question.