@Kris Langford I'm in the exact same phase you are right now. I've looked at trying to buy and hold locally in the greater Portland area, and there's a bit of a sellers market frenzy going on that has people selling duplexes for $600k that bring in $2700 in rent. If I had the cash to make that break even, why the heck would I be letting it rest in real estate with basically 0% CoC returns? There are a lot of investors in Portland who are not at all interested in cash flow, and are in it for the speculation.
I've also looked at turn-key out of state, and while it seems like you can get cash flow with minimal down (compared to west coast) my biggest reluctance is with appreciation barely matching inflation. Like @Melissa Dorman said, you're paying someone else to find, flip, rent, and manage. You could make a lot more doing it all yourself, but you can't do that here without lots of cash, and you can't do that there without moving. Weighing the costs and risks I'm leaning towards out-of-state, but I'm not completely ruling out local either. I think I'd have to find a turd covered jewel to make it work in Portland though .