Yep, childcare is bloody expensive. And staying put works for you. But if it's a choice between that and finding employment, employment should trump. Particularly for a doctor who's income is likely more than enough to cover the cost. The real question in the rural setting of course is availability of quality child care.

Me transmitte sursum, caledoni   

He's certainly cut America's throat and it lies bleeding and down in the dust which is exactly where the liberal elite likes to keep the people.