So regarding earning opportunities as a general practitioner, I can pull some teeth. Contrary to the gloomy predictions of some newspapers, doctors, etc., the income of a general practitioner, especially in rural areas, is still quite good. It may depend on whom you compare yourself with, but a nice little house and a comfortable life are definitely possible, especially since you apparently aren't the type to drive Porsches. The idea that retirees mean the death of a practice is definitely not true. Additional qualifications are nice and all, but a day only has 24 hours, meaning: with classic general medicine, you have more than enough to do in rural areas, often leaving simply too little time for extra hobbies, or you just aren’t a classic rural general practitioner anymore (which would be rather bad for the people in the countryside). Much more important than additional qualifications is having a sufficient number of patients; this is the pivot point for the profitability of a practice that operates mainly through lump-sum billing. The only thing to consider is: in remote rural areas, if luck is against you, people might ring your doorbell at any time day or night, which can be problematic if you are sitting at a barbecue. Furthermore, you are usually on call significantly more often than in urban areas. This is somewhat offset by the generally much higher appreciation of a general practitioner by the local people. My opinion: if you can imagine life like this: definitely go for it; it’s about the whole package and not just the monetary "return on investment." And above all: don’t let anyone talk you out of your goal to become a rural general practitioner; much of what is said about it is just nonsense, just have a chat with a doctor on site.