It's been awhile since I've posted to the Ecuador threads. I recall thoroughly investigating the nascent healthcare system vs. US Medicare. I wonder if expats have recent (i.e., 2015) and direct experience with the system. All the places I've investigated thus fare (we're talking three years of indecision) have major flaws of one sort or another. If it's lack of health care in the USVI, it's lousy healthcare in PR + staggering crime stats. Can't live in San Juan and environs and can't live other places for lack of transportation. Las Vegas is out for obvious reasons, even Palm Springs which, years ago, was wonderful, now has high crime stats. Otherwise, we' talking crazy politicians in FL, AZ and who knows elsewhere. I've been nearly run down many times by so-called drivers in Tucson running the red at a ped xing.
Anyway, med care is still a biggie, then crime and public transportation. I have no problem qualifying for my cedula in Ecuador.