Well, it was nice meeting you and your lovely partner, Tam! Do whatever you must do to be happy. I would just add one comment, based on the experience of an acquaintance of mine who is a major figure in the jazz, blues and folk guitar world.

He was born in the US and has lived in the US and in Europe for alternating periods of time - he currently lives in England and has an English wife. He has a couple of health conditions which require regular and complex medication. He estimates that the cost of this medication in the US would be in the region of $50,000 per annum, and that few of the commercial medicare-type companies would sustain that level of cost. Over here, where he works and pays tax and NHS contributions, the medication is provided by the NHS and he pays for prescriptions as do all those under 60.

He can't afford to live in the US. If you're health is good and your partner's health is good, then life could be good there. Bad health can be problematical - and I'm sure you know this already, but I thought I'd just mention it.

My sister, who is a nurse who lives in Tucson, has related a number of interesting stories to me about the US health system and money - "interesting" in the Chinese sense of "may you live in interesting times". However, home is where your heart is - and your heart is clearly back in the USA!