I don’t think it is a big deal. If you want a house way out in the boonies, you expect septic service.
Sewer is easier of course but not exactly cheap, I think the sewer part of my water bill is like $400 a year.
The edge case is more inner suburbs that have septic. I know this happens sometimes, there’s some NYC suburbs 20 miles from Manhattan that have septic. This is a negative since most inner and middle suburb dwellers don’t have experience with it, but again I don’t think it’s a big deal.