Running wiring through a ceiling cavity really isn't that hard to do and you shouldn't need to run surface Wiremold. Joists, AC units, skylights, etc. can be gotten over or around with coat hanger wire, and/or a fish tape. There may be insulation batts, joists and blocking for a roof vent that you have to get past and I've done it by bending the end of a fish tape and twisting it as I pushed the tape. Take down any lights, speakers, AC vents, trim around AC units & skylights, etc. to give access into the ceiling. If you have a surface-mounted light you can always make the hole in the luan a bit bigger. You might get lucky and find a spot where you can get a hand into the ceiling. If not, try exploring but pushing a wire up there and seeing if it is clear. You should definitely look for other wiring already up there. It's just laid across the joists and under the layer of insulation. If wiring is in the way, you *might* possibly find enough slack to push it to one side.
There's no reason why you can't relocate a light if needed to install a new roof vent.
You just need to find an un-switched source of power nearby. If you have a ceiling mounted light with an integral switch, that's your source. In some cases you can run up and down inside interior walls - if there is a switch, thermostat or receptacle, there is likely a hole in the top plate that should be large enough to fish low voltage wiring through.
I've run plenty of wiring through the ceiling space in 3 TTs - co-ax, HDMI, #14 to #10 romex and low voltage wiring and from one end to the other of the trailers. Never been stuck and not able to do it. A small area above a bed should be easy peasy. Photo below shows a project of mine in progress. My approach is any mods I do must look like they were factory done.
Posting a photo of your ceiling in question might help. You could also come here (haha) or send me a PM if you are stuck. I'm an EE and installing wiring in a TT is pretty straightforward stuff.
