This perception in the investment community is often with the presumption that cities like Charlotte, Jacksonville, Orlando, Tampa, Atlanta, etc, are all cities similar in population to other cities across the US.. but if the populations are comparable, what is the catch? 

So we can go to patient’s home and give checkups, refill perceptions etc etc.

Its a problem of perception not reality that's why you don't get it @Jd Martin. 

Broadly for me/us I'd just say that our perception of where the market/economy is headed just informs more of a general intuitive appetite for using leverage.My view is that uncertainty in future market outlook (perhaps forecasted by leading indicators) mainly drives price volatility, and perhaps increases risk of lenders 'calling' revolving credit lines to meet their own liquidity needs.The more 'bad' the indicators are, the more chance that we perceive our lenders possibly wanting to 'call' revolving lines of credit, is the way I think about it.  

I don’t think your perception of VRBO guests is accurate either.

This is an excellent place to start - examining your assumptions, perceptions, biases and fear. 

While some point to tax benefits or the potential for higher interest rates compared to banks, the real motivation is usually the perception that the seller can secure a higher price by offering financing.

A perception of a win-win is possible without sacrificing business objectives.What this looks like practically for us:Protect yourself- #1 (especially in California) make sure to insulate yourself, if things go south. 

A few months in the property is well taken care of(knock on wood), and now my perception is the tenant likes to work on cars so has a couple extra around. 

In OH, it's largely buying on out-state perceptions of value, and hoping rent's to meet that valuation.