I have a friend who is a transplant from our group to Kaiser Boulder. Haven't talked to him in a bit, but he is putting in the final years before the pension kicks in. (like Reno... skiing, biking, camping, rockies... etc.) Financially, it's not amazing for a new grad, but once you put in your time you are on the gravy train in one of the coolest mountain towns in the USA. Like I said, it's decent for a long term plan. "Decent" in comparison to the Denver market (Boulder is just an extension of the city now).
There are so many jobs out there that are paying well and have lifestyle to go with it. This feels like anesthesia 2000's.
I am kinda like you. I like all the big cases... the hearts, the penetrating injuries, big cancer/transplant cases, deaths door cases, busy ortho, peds, etc. Hell, a few weeks ago we had an army helicopter that crashed with 12 on board come through our regional ER. We were ready for battle and engaged in some cool protocols. Luckily no serious injuries.
I take every other week off, don't do weekends, OB and some other stuff I don't care for. Still feel fulfilled at 50 and will ride this train for another 5 years, maybe more. Incredibly proud of our group. We've been through a lot of ups and downs. Best part is that most of my partners would bend over backwards for me and I would do the same for them.
The time is ripe to make a change and get exactly what you want. You have a ton of experience... I would finish out your career as a unicron cardiac anesthesiologist. 💕