True story...
My English retiree neighbor, ex-engineer/mechanic with MacLaren's Formula 1 team, had a major heart attack. He was airlifted by helicopter to the next island over as ours has no cardiologist on it. They saved his life with a 4 way bypass and who knows what other crazy experimental stuff in Gran Canaria at the Doctor Negrin teaching hospital. As soon as he returned and was walking around the block for pt. He stopped by one day and told me about the whole ordeal. His words... "If this had happened to me in the U.K. where I used to live in London, I'd either have died at the hands of the NHS, or more likely than not, sitting stuck in traffic in the back of the ambulance.".
1st world is great, but haven't you noticed that the healthcare systems there seem to be failing just as much as they are anywhere else with this most recent pandemic? Also, chance of infection clearly rises with population... 1st world does not strike me as a precisely undercrowded part of the world.
Keep it.
2nd n 3rd world too for that matter...
Find a niche in the 1st world limited by geography for expansion beyond comfortable limits for the local infrastructure.
It ain't easy!