My wife and I have been giving some very serious thought to moving out West the last few years. She does Radiology/CT/MRI, so anywhere with a hospital works for her, and I work from home, so anywhere with internet connection works for me.. Hunting opportunities would be incredibly high on my list, as would maintaining a somewhat reasonable cost of living (coming from KC, we're exceptionally spoiled in that regard). The desert SW is out for us, as the wife doesnt like it down there.... So, areas I've given serious consideration to:
Cheyenne, Casper or Jackson in WY. Obviously cost of living in Jackson would be high, but there are other things that make up for it. I'm not sure you can beat the quality of the OTC resident opportunity in WY
Ft Collins in CO. Short drive to a ton of elk opportunities, lots of things to do other than hunting, weather isnt terrible. Allows you to live 'out west' without being in the middle of no where. Delicious beer!
Billings or Bozeman in MT. Don't know anything about MT, but there's something alluring about it.
Boise ID. I like Idaho, plenty of fun stuff to do there, and you're close to quite a bit of good hunting. Boise is just a touch too far West for what I'd want though.
Flagstaff AZ. Would need to take the wife down there, to see how awesome it is. I wouldnt mind living in AZ.
I have no desire to live in Oregon, Utah or Nevada. Seattle is a neat place, but I don't think I'd want to live in WA, again, way too far west.
Anyways, thats just a few of the areas that I've given consideration to. Over the next few years, we will have visited all of them, and will hopefully pull the trigger and get out of KC eventually.