Interesting issue.
In my own town, just 25 years ago, the population was 36,846
It is 117,869 last check, 2018.
Some of it due to annexation, and some due to just flat-out growth.
We are just a Houston Suburb now, instead of being just good size town, away from the city.
My wife and I are older now, and we talk about going out farther, to a more rural environment, but one of our concerns as
@sneakypete pointed out, is specialized medical care access.
Right now, I am 1 mile from a highway (90A) that splits off to Main street, Houston, Texas Medical Center.
No, I don't like this newer version of were we live now, but I do not know how far out I can go, and still feel comfortable that I can get some of the medical amenities that may be needed.
I do miss seeing stars at night......