There's a very pretty little town in the southwestern section of Texas called Utopia.

From the literary standpoint, this quote explains it the best way I understand it (one of my committee members specialized in Utopian literature)

"The word UTOPIA stands in common usage for the ultimate in human folly or human hope -- vain dreams of perfection in a Never-Never Land or rational efforts to remake man's environment and his institutions and even his own erring nature, so as to enrich the possibilities of the common life. Sir Thomas More, the coiner of this word, was aware of both implications. Lest anyone else should miss them, he elaborated his paradox in a quatrain which, unfortunately, has sometimes been omitted from English translations of his Utopia, the book that at last gave a name to a much earlier series of efforts to picture ideal commonwealths. More was a punster, in an age when the keenest minds delighted to play tricks with language, and when it was not always wise to speak too plainly. In his little verse he explained that utopia might refer either to the Greek 'eutopia', which means the good place, or to 'outopia', which means no place". --Lewis Mumford (in The Story of Utopias, 1922).

(that came from this page)

Utopia was never intended to be the equivalent of Nirvana, yet that seems to be how it is sometimes intended in modern usage.

Meanwhile, I will eventually try to move back to Ecotopia, where I come from, when my kids are grown and I am once again free to move about the country. I think you could look at someplace like Hot Springs, Arkansas to meet the requirements you listed in the first post about size, music, airport and hospital proximity, etc. Not necessarily in Hot Springs, but somewhere between there and Little Rock. And there are lots of little towns out around Nashville or between Nashville and Bowling Green, KY, that might fit your wishes and your pocketbook. And of course, don't forget the music scene in Austin, Texas, though it is in Tornado Alley, and gets really hot in the summer. You'd have to find a town out a ways, like Fredericksburg or such. It is do-able.

SRS