DGD wrote:
Blue Devil makes a great point about an often overlooked point but a must consideration of any potential destination especially for older guys which most ex-pats are. Of Ecuador he says that : "In the minus column, the health system is nowhere near as comprehensive as in Colombia". That would be a deal breaker for me.
Just curious, how does Colombia's compare to CR's?
I really did not want to hijack Esteban's thread, but in the interest of "retirement living", I will share a few thoughts on that topic. I am no expert on CR healthcare, but I know that Costa Rica has a government-subsidized healthcare system (just like Colombia). In Colombia, you have the option of using the public, EPS or private medical services. I'm not sure CR has a co-op system like Colombian EPS. The EPS is a healthcare system, underwritten by a major insurance carrier, that receives a portion of government funding for healthcare. The EPS covers soup to nuts, and also has access to private practices, out-patient treatment centers, clinics and hospitals. For $37/ month, it covers emergency treatment, hospitalization, pharmacy, office visits, diagnostics, outpatient treatment and basic dental. It is comparable to the Blue Cross/Blue Shield I have in the US, just it costs a lot less.

The co-pays are $1.25 US for everything... including a month supply of ALL medications. As I said, the EPS offers a great deal of flexibility, with a moderate amount of red tape. I'm not sure if the CR caja system offers this level of service.
The other thing I've noticed is that the Colombian healthcare system seems to have more depth than in CR. What I mean by this, is that there appears to be more state of the art medical facilities in Colombia (than in CR), and more widespread throughout the country. In CR, it seems like there are only two state of the art facilities (Clinica Biblica & CIMA) for the entire country. I am not aware of any others, so if i missed any, please chime in.