nurses in a rural part of MO, have looked at moving to the big city (STL or KC, they're currently in SPFD MO), there is a big demand by the many many hospital complexes in STL for medical personnel, estimated to number in the 30,000+ jobs/positions, a huge number. They still haven't, and in a way, I don't blame them...they're into fishing, etc. and you really don't get that in the immediate STLMO area unless you drive out to the county 50 to 100 miles away.
Rural areas and their hospitals, clinics, etc. can't pay as much as the urban or city hospitals can. Many smaller clinics and/or hospitals are being closed too (in MO at least). Also, getting medical personnel, other type of personnel out to rural areas/homes is almost impossible, lack of enough personnel, too costly, etc.
Claims that rural areas offer more to life for those who live in rural areas as well as having a lower cost of living, aren't true either as my Mom, who listened to my Dad when they moved to a rural area of the Ozarks, found out. She hated living out there w/ little to do. As a result, my Mom was so mad at my Dad, everything they did involved a minimum trip of at least 50-100 miles away. Everything.
That was one of the biggest problems we had, as kids, in trying to convince them (parents) to move to at least Joplin or some bigger city so they would be closer to things that they needed. They resisted and in the end, unfortunately, when my Mom (Dad already passed) fell and collapsed in her yard late one night (in the Ozarks, she was checking on fireworks going off in her area), no one found her until the morning. Thus she got rained on, and worse, being outside all night. There comes a time when parents' well being becomes paramount, and parents' desires needs to be put aside.
We can never change my Mom's decision to stay out in the Ozarks where help is far away, everything is at least 1/2 an hour away, so that decision of hers basically killed her. Sad, but what can you do? You try and respect parents' wishes but sometimes...one must do what one must do, unpleasant as it may sound/may be.