I have a site for a medical office building we were working on.

[Disclosure: I worked at a major medical center for fourteen years as the ADA coordinator and manager of accessibility services, so it's easy for me to see the possibilities.

Hi SamuelThe estate may have a lot debts, medical bills etc.

However, those numbers are based on your "modified adjusted gross income" so if you contribute to your 401k or pre-tax medical plan it will look like you make less money.

My wife and I had to help several of our children who were fighting medical problems and bills.

I have made it a point to meet and have a sit down with every case manager for every section 8 tenant because they are a great wealth of information and future leads.They will provide rental history but no medical information; I say this because if you get a veteran on the VA-SH program, some of them may be suffering from a medical ailment, as it is a program to end homelessness for veterans.  

I'm targeting areas within 45mins drive in rush hour to Texas Medical Center.

Hi, all is very true, but be very careful in dealing with those in nursing homes, not only is there a competence issue and many times family toi deal with, but the biggest problem will come if the seller is selling to qualify for medical benefits.

Will there come a day when South Dakota will be a paradise compared to Florida or Ca due to economic and population density issues, or even availability of medical care?

Only professions that impose quotas like medical doctors are immune from race-to-the-bottom wages and the supremacy of capital in the labor versus capital struggle.