As just one example, you could live in Rochester MN. Nice 4 BR house <= $150,000 [1]. Medical care: The Mayo Clinic. Schools: AFAIK very good. And more culture and more liberal than you probably imagine.

There a dozens of places like this between the two insanely expensive coastal zones of the US. Places where things like housing cost nearly an order of magnitude less.

[1]: http://www.zillow.com/homes/for_sale/Rochester-MN/26791_rid/...