We live in the county, but are only about 400 yards from the city. Here, there is not much difference between being in or out of town, other than city water and sewer. It's getting closer to uni-gov, that is, many of the government services overlap between the city and county, and one department can handle services for both entities. There are two main cities in our county, and their borders touch. There are also half a dozen or so smaller towns and villages with their own governments. Fire, ambulance and police services are separate, but cooperate very closely. If, for example, I call for an ambulance in an emergency, chances are pretty good I'll get a county cop or EMS person at my door within 5 minutes, followed by a township fire truck, then a city fire department ambulance. It's 7 minutes to the hospital in town. Even less if they put on the lights and sirens.
One of the nice things about living here is that even from the center of a town of 100,000 people, you're only about 10 minutes from corn fields. We have a good airport with a couple dozen flights out every day. The South Shore interurban train that can get you to Chicago in 2 hours. Amtrak twice a day east or west. It's a good location. Cost of living is dirt cheap. Most of our farmer friends are just a short drive further.
Urban living really does have some pluses. So does rural living.