Me too. I think it is part of the reason that I am AGAIN in search of another T, but not the whole reason.

I think part of it is that in my small town, the standards of care have slipped and not caught up, over time, with what has evolved elsewhere.
I had a sinking feeling this was true, and then just by chance, I connected with someone during a walk yesterday. As it happens, she is a T and works in a large town on the west coast but spends her summers in my location and she reported that she chose not to practice in my location due to the standards of care, lack of supervision, and the way that the conservative/religious outlook in my place has cast a shadow on work with CSA, trauma, womens' issues and other matters. I hope I'm not offending any readers here but some places just aren't as amenable to some ways of seeing the world, even through therapy.

So the Skype option is really interesting to me. I think it would widen the net that I could cast. I think it might help me find someone who is as much like my old T as possible...someone who would be unlikely to settle here as i am!