[snidane]

In post Czechoslovakia if you moved out of your hometown, you lost valuable networks. Healthcare and childcare were always connection based - you needed to know the local doctor, teacher, homebuilder - to get connected with specialists, skip the queues, get preferred treatment, faster processing of documents, etc. Once you part with your network, you start to build new one from scratch which takes many years. Unlike in US which is more market based - as long as you have the money you can recreate similar lifestyle elsewhere in the country.

Second, there was never really a need to rush to move to another location offering better opportunities. As consequence of the 1990s policies the local capital vanished into the hands of western entities and with it the opportunities worth moving for. The post 2000 capital which moved to the region just found spots with cheap labor to build new factories or logistic centers to keep the German powerhouse running. With an unfair advantage of cheap eastern energy, cheap eastern workers across the border and cheap euro currency as a result of sharing it with the unproductive european south.