> Companies (e.g. Mozilla, Gitlab, now Facebook) often forget another side of the coin - "less expensive areas" most of the time means worse quality of life.
Exactly. Also, if you live in the “middle of nowhere” or even outside a major metro area on the east and west coasts of the US, the quality of healthcare substantially declines. Considering that the third leading cause of death in the US is preventable medical errors, living outside of these areas can literally be a death sentence. It is only a matter of time before it is likely to become the case for an individual, healthy or not.
As somebody with 2 rare neurological diseases affecting my peripheral nervous system, plus type 1 diabetes, remote work helps tremendously. But, living in the boonies would literally, in no exaggeration, kill me. So, I need a salary that allows me to live in a major decent metro area, plus allows me to pay for my healthcare. That is non-negotiable. Every day, working in the US is looking less appealing. I can legally work in select places in other parts of the world, and plan on leaving the US. There are other places in the world that have universal healthcare, that do not have huge disparities in quality across similar geographical areas.
You can find out more about healthcare quality worldwide and the US by examining the data on http://HealthData.org