Five low-cost alternatives to living in (and traveling from) the U.S.

In ever-greater numbers, Americans are seeking guidance about where and how to move out of the U.S. Half a million have looked to New Zealand—but there are other easy, closer-to-home, lower-cost options that arguably make more sense.

Since the start of the COVID-19 pandemic, more than 250,000 Americans have investigated moving to New Zealand, according to the New Zealand Herald. In June, for instance, searches were up 160 percent compared to June 2019.

International Living reports that its “How to Move Out of the U.S.” page has seen a surge of 504 percent in traffic since the end of May 2020.

Firms that help clients get second passports say they’re seeing a significant uptick in interest in their services.

Clearly, Americans are looking at ways to escape.

Some are frustrated with the current political climate in the U.S. Others want to go where the public-health situation seems more sound. Still others are worried about the dwindling attractiveness of the U.S. passport and curious about how they can gain more travel flexibility through dual citizenship.

With job losses into the millions, some folks are looking for places where they can lower their cost of living. For others, new “remote working” flexibility has them thinking that if they can work from home, home might as well be at a beach. In the right spots overseas, that beach can prove remarkably affordable.

“English-speaking New Zealand, which has been in the news lately for its positive handling of the pandemic, seems an obvious place to start,” says Jennifer Stevens, executive editor of International Living. “However, it’s relatively expensive, far away, and has very strict and hard-to-satisfy immigration rules.

“Other options can make more sense—places that are closer, lower cost, and have easier-to-meet visa requirements—but which are also friendly, safe, welcoming locales where it’s pretty easy to settle in as an expat. In a place like Costa Rica, for instance, lots of people speak English as it’s taught in the schools from a young age, well-established expat communities make settling in easy, your dollars really stretch (a budget from as low as $1,500 can bankroll a comfortable life for a couple), and three good visa options make it relatively easy to gain residence there.”

Countries that make good sense to consider from the perspective of value and ease of settling include Costa Rica, Belize, Ireland, Uruguay, and Portugal.

 

Costa Rica

A perennial frontrunner in International Living’s Annual Global Retirement Index, Costa Rica’s political stability and low-key profile are proving to be increasingly strong draws for expats.

Of course, there’s no lack of drama in Costa Rica’s landscape—jaw-dropping expanses of coast, jungles rich with everything from spider monkeys and sloths to scarlet macaws and quetzals, gorgeous lakes and volcanic valleys.

Although just the size of West Virginia, the country has two major international airports, typically with daily flights on every North American airline from major gateway cities. With that ease of travel, it is convenient to get back home for special occasions or easily receive visitors.

Ticos (the moniker Costa Ricans give themselves) have established one of the world’s most stable democracies. The country dissolved its standing army in 1949 and the reallocated funds are spent on education, healthcare, and pensions instead of the military.

“I had the travel bug from an early age, from studying overseas to extended vacations with my family, and I really wanted to embrace a new culture,” said Kathleen Evans, an International Living correspondent who moved to Tamarindo, Costa Rica. “We made a list of criteria about what’s important to us and what we want our new home country to be like—I wanted to hear and see the ocean every day, I never wanted to wear a coat again and we also wanted a country with a stable democracy and an educated population close to home in the U.S. Over time, checking various countries, we kept coming back to Costa Rica and we realized that it checked every possible box for us.”

English is taught in schools in Costa Rica from a young age, so while it’s helpful to know Spanish, lots of expats get by on just the basics, as most locals speak some English—and in tourist towns, there’s a lot spoken. With plenty of well-established expat communities, Costa Rica is a relatively easy place for Americans to settle in.

Tourists can stay for up to 90 days on a tourist visa, and longer stays are easy enough to arrange. If you plan to live in Costa Rica long term it is best to seek residence—The Pensionado Program and The Rentista Program are more popular visa options.

A couple a can live well in Costa Rica’s cooler-weather Central Valley in a town like Atenas, for instance, from $1,518 a month.

 

Belize

Recent figures release but the International Living data-analytics team reveal the company seeing a monstrous 798 percent increase in traffic to its “Move to Belize” page since May 2020.

There are good reasons for the growth of the retirement haven’s popularity, one being its language. As a British Commonwealth country, English is the primary language, making it easy for expats to transition. In fact, Belize is the only country in Central America with English as its main language, and that goes for its islands, too.

And it may come as a surprise, but moving to Belize is easy—U.S. currency is accepted, credit cards are widely used, and well-known U.S. brands are available too; they’re expensive, but substitutes are easy to find.

Belize is a barefoot nirvana. It’s hard to put its charm into words, but the best description might include the phrase “rustic paradise.”

From its secluded beaches to its steamy rain forests, Belize is a country of diverse natural beauty. Its slow pace of life makes it a popular tourist destination, and the cost of living remains low. For the more adventurous traveler, activities can include a trek into the jungle in search of Maya ruins, spotting parrots, toucans, and maybe even a jaguar along the way.

Belize requires visitors to have sufficient funds to support themselves, a return ticket, and a passport valid for at least three months beyond the date of arrival. As a citizen of the U.S. or Canada you can stay in Belize for up to one month without a visa. If you want to stay longer you’ll need to go to the Immigration office for an updated visitor’s permit or tourist stamp. If you can show proof of long-term renting or other documents showing why you are staying in the country, you can be granted a 60 day or a 90 day permit.

Many expats apply for permanent residence in Belize. The primary reason is that as a resident you can work in Belize without needing a work permit. Having your residence also makes it easy to travel in and out of the country.

You must live in Belize for 50 consecutive weeks before you can apply for permanent residence. To do this, enter the country on a tourist visa and then renew your visa every 30 days until you reach 50 weeks. At that point, you can submit your application for permanent residence. It can take a few years to receive approval and your residence card.

A couple living and renting on Ambergris Caye can live well on a monthly budget from $2,875.

 

Ireland

Ireland sits in the north Atlantic Ocean. Even if you have no familial ties to Ireland, you’ve likely heard plenty about what this small island nation has to offer–the stunning beauty of its dramatic coastlines, crumbling castles…a rich culture of music, dance, and literature…and warm, witty, friendly people.

The whole nation—but particularly the countryside—takes a smalltown approach to life. Everyone in Ireland speaks English (even in the few Irish-speaking areas). The Irish are friendly, hospitable people. It may be a cliché, but it’s true—the literal translation of “hello” in Irish is “a hundred thousand welcomes to you.”

Living there, you don’t have to make a hard choice between seascapes and mountains, between tranquil lake lands or verdant river valleys. Ireland has them all.

Ireland is small. In most towns and villages, you’re never too far from the ocean, from golden beaches swept clean by rolling Atlantic waves, the views of mysterious smaller islands shimmering offshore, and quaint harbor towns with their hand-painted shop fronts and color-washed cottages.

And Ireland is a key player for folks who want to explore Europe, thanks to the island being outside the Schengen Zone. That means that a trip to the Emerald Isle (or another country outside the Schengen Zone, such as Cyprus or Croatia) for under 90 days, stops the clock on their EU tourist visa—allowing travelers to pick up where they left off when they return to the Zone.

On a monthly budget of $2,762 to $2,806 a couple can enjoy a coastal retirement in a community like Waterford.

 

Uruguay

Uruguay is a small country on the east coast of South America. It is also among the top countries in the region when it comes to infrastructure. You’ll find the best overall road system, the most reliable electrical grid, and one of the fastest overall internet speeds in Latin America. You’ll also find quality medical care, safe drinking water, and good public transportation.

The country’s interior is part of the South American Pampas used for cattle grazing and farming. On Uruguay’s coast, you find beautiful sand beaches popular with vacationers. Most expats are attracted to Uruguay for its tranquilo (calm) lifestyle—a healthy, stress-free approach to living.

Even though Uruguay is a small country, it offers a variety of lifestyle options. Choose among places like Punta del Este, the continent’s most sophisticated beach resort; La Paloma, a small beach town on the Atlantic coast; a small farm or rural town in Uruguay’s countryside or Montevideo, the capital city with an active cultural scene.

Montevideo, a coastal city on the Rio de la Plata, is a place where the traditional and the modern weave together to form a sophisticated European-style regime. It is one of the most diverse and sophisticated cities in South America.  From its Old World theaters and opera houses, to its jazz festivals and exquisite restaurants, Montevideo looks and feels like modern Europe.

The city has many large parks, plazas, tree-lined streets, sandy beaches, and wide avenues. The “rambla”—the promenade that runs the full length of Montevideo’s seven-mile coastline—provides a long-paved strip ideal for walking, running, and bicycling.

You can stay in the country for 90 days at a time as often as you like. And for a small fee, a tourist visa can often be renewed, for stays of 180 days at a time. However, if you are thinking longer-term, becoming a permanent resident enables you to live in Uruguay full time, make Uruguay your home country, get a job, or start a business in Uruguay. One of the benefits of Uruguay residency is the ability to import your home furnishings and household goods duty free during the residency approval process.

Two people can live in Montevideo on $3,200 a month, renting a one-bedroom, furnished apartment in Pocitos, the most popular expat neighborhood in the city.

 

Portugal

“Safety, quality affordable healthcare, a relaxing lifestyle, a rich history and culture, savory cuisine, geographic diversity—you’ll discover all these elements in Portugal—on about a third of your current budget,” says expat Tricia Pimental. “I know. It’s where I’ve spent the past seven years and I love it.”

She said Portugal “offers so much to retirees. Expats typically find their expenses in Portugal run about one-third of what they were in the States. Even with a fluctuating exchange rate, we still live a comfortable, although not extravagant, lifestyle for about $2,500 a month. If you choose to live in Porto in the north, Lisbon, or in the expat havens of Cascais or the Algarve, you probably want to bump that up to $3,000.”

“Rental and housing markets offer fairly diverse options. Naturally it is more expensive in prime areas like Lisbon and its environs and in the southern region of the Algarve. But by simply searching within 20 minutes of a specific town, you can find a gem that fits your budget,” Pimental said. “If you’re looking for land and a ‘get away from it all’ lifestyle, there are plenty of opportunities to invest and enjoy the breathtaking countryside Portugal is famous for.”

A visa is not required for tourist visits to Portugal for a period of up to 90 days for U.S. and Canadian citizens. However, note that your passport should be valid for at least six months from the date of your entry into Portugal. If you wish to stay in Portugal for longer than the tourist limit of 90 days out of every 180 days, then you should look into getting a residence visa. There are several types of visas available, including visas for students, the self-employed, and investors. Portugal also offers a so-called Golden Visa for high net-worth individuals.

Costa Rica has political stability to go along with jaw-dropping scenery.

Source: Internationalliving.com

Concerto Health, a provider of in-home care for high-cost and rising-risk populations, announced in May it is working with county health departments in Washington to expand home-based COVID-19 testing and treatment of frail and vulnerable patients, particularly those living in high-risk, congregate situations.

Concerto Health care teams conduct regular health checks for positive COVID-19 cases, in-home treatment that includes oxygen saturation monitoring, and post-acute care for frail and vulnerable patients residing in assisted-living facilities and adult family homes. The partnerships with local health departments offer universal access to testing for all residents and caregivers, regardless of insurance status, said Dr. Chris Dodd, Concerto Health’s chief clinical officer.

The California-based company has care centers in Lakewood and Renton.

“While many providers are offering telemedicine, that won’t address many of the care needs of frail and vulnerable patients. Those needs require meeting patients in the comfort of their own home,” Dodd said.

 

Each year, thousands of educators, caregivers, health and aging professionals, and older adults across the country focus their efforts on one goal: preventing falls.  Pierce County Aging & Disability Resources (ADR) is partnering with the National Council on Aging (NCOA) and the Falls Free® Initiative to celebrate Falls Prevention Awareness Day on September 22.  This year’s activities will focus on tips to prevent falls at home and in the community.

Aging & Disability Resources will host an online workshop on September 22, the first day of Fall, at 10 a.m. and 7 p.m.  “The Mary Poppins Bag of Fall Prevention Tips” will be presented by Sandy Gatlin, Master Trainer and West Regional SAIL Coordinator.  Gatlin will take viewers through the house, around the yard and in the neighborhood to see the most common causes of falls and how to avoid them.  Falls are the leading cause of injury for people aged 65 and older, but they are not an inevitable part of aging.  There are proven ways to prevent them.  This fun online event will empower older adults and those they care about to stay active, independent, and safe in their homes and communities.

“More than any other episode, falls have significant after-effects,” said Aaron Van Valkenburg, Manager of Pierce County Aging and Disability Resources.  “Those consequences range from a few weeks recovery from bumps, scrapes and bruises to critical injuries that can lead to life-long disabilities.  This kind of education can change a community, and that’s why we’re proud to support Falls Prevention Awareness Day as part of our year-round commitment to supporting older adults in Pierce County.”

Each year, 28% of Washington residents over age 65 experience a fall.  In Washington State, fall-related injuries account for more than half of all injury-related deaths of adults aged 65+ and 70% of all injury-related deaths for adults aged 85+.  Falls can cause moderate to severe injuries, such as hip fractures and head injuries, and can increase the risk of early death.  Falls are a public health problem that are largely preventable.

The workshops are free and no registration is required.  On September 22 log on:

  • 10:00 a.m. at https://piercecountywa.zoom.us/j/98690465036 or by phone at 253-215-8782 or  888 788 0099 (Toll Free).  Webinar ID: 986 9046 5036
  • 7:00 p.m. at https://piercecountywa.zoom.us/j/97825656633 or by phone at 253-215-8782 or  888 788 0099 (Toll Free).  Webinar ID: 978 2565 6633

For more information about this event contact the Pierce County Aging & Disability Resource Center at 253-798-4600 for more information.

 

 

Mom never forgot us on her Alzheimer’s journey

Editor’s note: The following article from the Alzheimer’s Association is among the first-person accounts about why people are participating in upcoming Alzheimer’s Walks, the annual fund-raising events for care, support and research programs. Locally, the walks this year are partially virtual and are scheduled for Sept. 20 in Olympia, Sept. 27 in Tacoma, and Oct. 3 in Seattle. Information on how to get involved is available at 1-800-272-3900 and alzwa.org/walk.

Norma Salgado (left) is participating in this year’s Alzheimer’s Walk in memory of her mother (right), who died last year after struggling with Alzheimer’s disease.

My name is Norma Alejandra Salgado, and I live in Puyallup. I am a mother of four (ages 22, 19, 14 and 18 months.) I am married and I work as a medical Spanish interpreter. I started my career because I took my mom to all her medical appointments.

I am 43 years old and from Guadalajara, Mexico. I am the youngest of 11 kids that my mom had — yes, 11! As the youngest of my family, I usually took care of my mom’s needs.

We started to notice some changes in my mom’s behavior around eight years ago. She seemed sadder.  She was usually pretty much an independent woman, strong and happy. She smiled at all people, and was a friendly and nice lady.

My mom enjoyed travel very much. She loved the beach and her city Guadalajara (she lived between Seattle and Guadalajara). Suddenly, she seemed to be unhappy, and kept asking to go back to Mexico and would cry about it. My family thought that she just missed her hometown more than usual, so we thought it was normal.

Time passed and her memory showed more and more signs. For example, one time she got lost outside of her apartment and couldn’t get back into her home. Luckily, someone recognized her and helped her back to her apartment.

When I used to go help her clean her apartment, I would find yogurt in the drawer in her bedroom, sugar in the fridge, and little things like that. We thought that was normal for her age, but I could tell she was worrying, too. She probably felt different. She even asked me a couple of times to take her to see the doctor and asked for medications so she wouldn’t forget things.

We asked the doctor a couple times but got nothing. No one talked to us about Alzheimer’s. One time we got a new doctor, and she prescribed medication for mom’s “depression.” Well, that medication caused a panic attack for my mom and she ended it up at the ER.

When mom felt sad, she asked us to send her back to Mexico. She was excited, but once she traveled it was the same thing–she got sad, angry at everything, and asked to come back to Seattle.

As a big family, we had too many differences in opinion because we didn’t know what was happening with my mother. Sometimes my mom would say that someone stole her earrings or money, and we thought that was true. As a family, we sometimes fought about it.

Time passed and no doctor could explain what was going on or give us a guide to know what to expect. Mom was attending a senior group in the area. It was something she really enjoyed, but then she began having problems like going to the bathroom and getting lost on her way back to the meeting room, or getting angry at other ladies for stealing her purse. The group leaders called to tell me that they decided that my mom was not welcome in the senior center any more. I couldn’t tell my mom that.

Finally, one day she had a simple test at the doctor’s office, and the doctor told me she had dementia. He said she will forget things, but didn’t give me too much information beyond that. I decided to learn more about Alzheimer’s signs and symptoms and how to manage them. I looked into treatment, but there wasn’t much information.

We tried different natural and alternative things, but nothing seemed to work very well. It was harder and harder to deal with my mom’s moods, but we loved her so much. We were trying to get as much help as we could. We were able to get her a caregiver and it helped us out a lot. We were finally able to have a break. You never know what to expect; every day is a challenge.

One of the things I feel so lucky about is that my mom never forgot about us. She couldn’t remember my name, but she knew she loved me and I was special to her.  She became more kind, gave us more hugs and kisses, and she really loved being around her family. She hated being alone or with someone she didn’t know.

The last few months were the hardest part. I always thought Alzheimer’s meant forgetting people, places and things; I never thought the body would forget what it needs, too. So my mom’s body started to forget basic needs like feeling hungry or full. She forgot the urge of going to the bathroom and being thirsty. That’s when the biggest problems showed up. She stopped eating and drinking and her body was growing  weaker and weaker. She passed away on April 18, 2020.

Mom was at home, surrounded by her beloved ones, warm in bed, with medications that helped her have no pain. She wasn’t alone; she couldn’t have been alone in a hospital or nursing home. It was hard, very hard, seeing my mom leave, but I am at peace. I did everything I could to make her feel loved, calm, even happy. She loved flowers and birds, so whenever she felt agitated, I put on bird sounds and she was calm. Music always helped, too. Singing with her and hearing my kids around the house made her happy. She wasn’t alone.

Her nickname was Chelito. I decided to walk for her, in her memory.  I just wish we could have more education about dementia. We need more information, so people don’t think older people with dementia are annoying, crazy, or trying to get on your toes just because they want to. We need to spread awareness that Alzheimer’s is a disease.

We need more awareness and resources so that families know what to expect when their loved one has dementia and can learn how to help their loved ones.

That’s why I am walking. It’s for you, Chelito!