I live in the principal city of the local Metropolitan Statistical Area; it's by no means a big city, but it's representative of many small cities around the country. My barber lives out in the county, outside of city limits, where it is much more rural and one can indeed buy 10 acres for not a whole lot of money.
I believe his wife is a schoolteacher; I don't believe public employee benefits are especially generous in this state.
Ask them what their deductible/oop max, and how they get that insurance, and I bet you will have your answer for how your friend can afford to raise a family of 4 as a barber and buy and live on 10 acres of land. I doubt a 2 barber couple could pull it off. The security/benefits of one half of a couple being a government employee is pretty valuable.