About the same as in Paris, London, New York or Tokyo. The difference being there's no "outer suburbs" where you can get a landed property cheap at the cost of a 1h+ commute. At the end of the day, where you live is about acceptable trade-offs. London hedge fund managers bid millions of pounds on houses in SW7 that an accountant in Ohio would pass for $200,000.
I have many friends in Bangkok raving about the quality of life there, but I think it's for an earlier stage of life. At this point in time, I value the rule of law, equality before the law for citizen and foreigners, stable infrastructure, stable non-corrupt government, etc. much more than I used to, and cities like Bangkok (or any PRC city) whilst a bit more exciting are just too much work.
In terms of actually running a business, every company I know of that has its owners in Bangkok somehow has incorporated in Singapore or is owned by a Singapore holding company. I think that has to do with farang ownership restrictions, again, didn't look too deep into it.
Again, it's a very personal outlook and if I could go back in time 10 years, I would head straight for somewhere like Bangkok or Beijing.
The other thing is that when I get box fever (which is rare, my box is comfortable) I just fly somewhere. You can rent a 2 bedroom bungalow steps from the (deserted) beach on Rottnest Island offshore Perth for around $120/night. The flight takes 5 hours and the ferry another 45 minutes. One of many options, including Thailand and Bali.