Do not come here if you need good medical care and if you need it daily, weekly, or monthly. You will spend your life in Dr offices and have no time for anything else. I don't know anyone who goes to public schools here. Everyone I know sends their kids to private schools even if you are Puerto Rican. Any money parents have goes to getting their kids out of public schools. Most private schools cost an average of $6 to $10,000 a year, and the really nice ones are way more than that. Trying to find jobs here will be super difficult. My best advice is stay in the States and save to buy a vacation home here. Moving a large family down here in this economy with some that need good medical care with no specific contracts for a job would not be dream living. I'm not trying to be a downer, but if you want Caribbean culture for your family, I would consider Miami first. If you are in Miami, you will find a lot of Cuban and PR culture, and you will be a quick plane ride away - 2 1/2 hours. The island is a beautiful place, but living here is not easy. My husband's job brought us here. We came already with a job, both speaking Spanish. I'm homeschooling the kids, and we have survived the medical system but after two traumatic experiences where myself and my son needed ER care and follow-up medical care, we will be on planes to Miami if we need more care besides routine Dr visits. I wouldn't trade our time on the island for anything. We have visited a lot of places and love the people here. But it has also been some of the most stressful times in our lives also. I understand your wanting to move here, but unless you can come with a job already in place, the money for schooling the kids or willingness to homeschool, and the ability to fly back to the States to manage your pre-existing condition, I wouldn't advise it.