Rapid City is a major medical care center for a five-state region, centered around the Rapid City Regional Hospital. And while retirees might not find Florida warmth in South Dakota, they will likely find everything else. If the unemployment rate is any indication of the ease with which a job can be obtained, then South Dakota is the place to be. In places like Rapid City, the unemployment rate has hovered between 5 percent and 6 percent, far below the 7.8 percent national rate. Recreational and cultural lures—don’t miss the downtown City of Presidents—combine with a strong economy to boost Rapid City’s appeal. Concerns include unhealthy eating, meager access to conveniences, and a lack of home health-care providers, caregivers, and nursing beds.