i'm very undecided. the town that i grew up in is in need of dentists, but we don't particularly like it here. my hubby's family is from a rural town in texas and the whole county is an underserved area (no dentists for 45 min - 1.5 hr in any direction) but i think i would lose my mind living there

(i like to be around people and hustle and/or bustle). most of the cities i look at, the ones we really enjoy, have dentist/patient ratios of 1:900-1:1,500 and i think that's just too low. how can you survive with that? could you even pay your staff? i do have a desire to help the underserved/low income, but i'm also practical and i know thta you need a certain amount of paying patients to make your office run.
the thing is: if i were to set up shop in the town i grew up, things would be easy (not the dentistry part, but the marketing, mundane parts). i grew up here and known tons of people. the ratio now is around 1:3,000 and there will be dentists retiring before i'm done with school. my dad's a doc so there's some name recognition (i kept my last name). etc. etc. it would be tons easier than trying to make it in a new town where neither of us know anyone. but we really don't like living here... there is little in the way of culture or diversity or 'experience'. not a lot to raise a family on.
so what do you do? pick the place with a good career path, knowing you'll be able to provide culture/diversity to your family by way of travel? or move to the city that offers all of that, and potentially not do as well professionally?
these are my dilemmas.
😕