I can see where it would be difficult to find someone in that the only alternatives are far from where you live or something, particularly in more rural areas so maybe there are cases that fit the bill.
It just seems to me that more often than not it's a question of convenience and personal preference rather than necessity, exactly same criteria Cafeteria Catholics base their decisions on. Erring on one end of the spectrum for the same reasons others err on the other end of the spectrum, if you see what I mean.
Ultimately, in either direction, it comes down to intention.
"I am the Lord who search the heart and prove the reins: who give to every one according to his way, and according to the fruit of his devices." Jer 17:10