Los Angeles Times

Urban vs. rural divisions

- Send questions to Amy Dickinson by email to ask amy@amydickins­on.com.

Dear Amy: My boyfriend and I have been together for seven years, and we are still going strong. We have talked about marriage. I believe that we will be married soon.

I will graduate from medical school this year. It was always my plan to live in a small town or very small city closer to nature. I despise life in the big city and have always looked forward to the day when I would escape it.

My boyfriend doesn’t want to live in a small town. His career relies on him living in a city. He loves city life.

This is the biggest of several difference­s between us.

I’m ready to give up my dreams to be with him. Even though I love him deeply, I think I’ll be miserable. I don’t want to lose him. Will this doom us? What can we do? Desperate

Dear Desperate: A doomed relationsh­ip could be your liberation.

According to the Associatio­n of American Medical Colleges, the U.S. is projected to have a shortfall of up to 121,300 physicians by 2030, owing to doctors retiring, and the increased needs of a rising number of elderly requiring more doctors.

The physician shortage is most acute in rural areas. In small towns and small cities, your ability to provide health care will quite literally be a lifesaver. You will get to know your patients and their families. The fact that you are seeking a small-town lifestyle means you will be personally happier, once you land in the right spot.

Marrying someone you love while believing that you will be miserable is not a rational, healthy or adult choice. Marriage will not magically transform your personal preference­s or your life’s goals. Perhaps you two could agree to a year of a long-distance relationsh­ip, where you each live where you want to. You could research cities with outdoorsy reputation­s (like Boston, Portland, Seattle and Denver) that might give you each the lifestyle you want.

Dear Amy: When our niece was a young, single mother of two, we took her and her young children into our home and — with the understand­ing that it was a loan — helped her financiall­y. She has made no effort to repay the near $20,000 she owes (for car repairs, etc.).

She’s now engaged to a wonderful man (and pregnant again).

We want to warn her betrothed of her debts owed, but we feel it’s not our place to “rat” on her. So, WWAD (What Would Amy Do?). Conflicted in CA

Dear Conflicted: I would not “warn” a fiance of a debt unless I had tried mightily to collect from the person who owes it.

Was this “loan” acknowledg­ed in writing, or did you — out of the goodness of your hearts — take in a needy relative and her children, with a vague understand­ing that you would be repaid some day?

You should communicat­e with your niece about this. If you have a valid agreement in place, review it with her and tell her that you expect to be repaid. Depending on what state the couple lives in, her debt will carry over into her new marriage and become the couple’s debt, and, yes, her fiancé should be told.

Communicat­e respectful­ly and attempt to negotiate a reasonable repayment schedule for this substantia­l amount. There are online services that could help you to formalize this loan, with promissory notes and repayment tracking.

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