My greatest barrier at the present time is taking care of my mother, who has multiple health issues, and three different medical specialists. She is receiving what appears to be very good care where we are, and I fear losing that in a move to a more sane state. Getting good medical care established, especially given the current state of things (Obozocare) is a dire concern.
I can understand how that situation would tend to stick you in place. I don't blame you for not trying to relocate her, given her condition.
Got my fingers crossed that a way forward presents itself to you.