> But it is not like cities are walled off.

Sadly it is, once you live in another district they can and will refuse to treat you.

> If you need urgent specialist care, they have helicopters that can fly astonishingly fast.

Oh no, my comment was not about urgent care, it's just often people get appointments with specialists a year or more in the future. Or you pay out of pocket and get it much faster but again those specialists are only in big cities.

> The original comment was about moving to "a small town", not moving to "a specific small town".

Sure, and my comment is representative about small towns in Slovakia.

> but is staying in Slovakia a hard constraint?

For me currently it is, but many people are moving away.