It's all about compromise. I knew one couple (he was an MD/PhD and she was a PhD in physics). They "took turns" moving. If he got a job opportunity, they moved. But if he got another job opportunity later, SHE got to say yea/nea. And vice versa. This time, I got to choose where to go (the match...sucks). When my residency is over, I will most likely do a fellowship. BUT, it will be my husband's "turn" to decide where to go. This doesn't mean that I have no say (or that he had no say in my rank list). But we both have input. I ranked one place lower on my list (even though I loved it) because there were no job opportunities for him there. And I ranked a place I didn't like semi-high because HE wanted to go there. Turns out, we got a place that is spectacular for both of us.
With regards to moving: when I was a kid, we moved every three years. My dad's company transfered him a lot (and it was never a few hours away...it was another time zone). My mom was a SAHM, so she didn't have to worry about finding a job. BUT, they both worried about leaving friends/family behind. I loved moving (as a kid), but it IS scary. We are getting ready to move for residency and it is a PITA. However, if we didn't do it now, we'd never leave. It's scary, but sometimes you just have to take the plunge. If you never leave, you don't get to experience as many different things. I loved being able to see different places and meet different people growing up. My sister's husband lived in the same house since birth, and that is SO strange to me. But he loves travelling and up-and-moved right after college (1500mi away) and never regretted it (and loves his new home). Is your husband's career such that he can't have the same job outside of Columbus? Or is he just afraid to live somewhere outside of his comfort zone?
Dumb question, but didn't you discuss things like moving BEFORE you got married?