Great question…it’s tough because being from California, I already saw my move to Texas as a step up in terms of personal sovereignty in many ways, an have found a good group of people with similar values that I love being around. Also, my wife’s family is here which is great, and as described in the book I do still hold on to that national identity and optimistic view of the US having traveled to quite a few countries abroad (including Central America) that don’t enjoy similar opportunities that we do, despite our other shortcomings.

So in short, in reality, things would have to get exceedingly worse for me to move…hoping it doesn’t come to that, but time will tell.

Ophthalmology trained surgeons from the US translates well, we’ve been to several trips abroad where we are needed and where ophthalmic care is severely lacking, so definitely thing (hope) they would welcome us!