Dental Care In Cost Rica—A Real Life Story

The Half-Price Dentist Of Costa Rica

Aug. 6, 2014, Uvita, Costa Rica: Costa Rica was the first in the Americas to push medical tourism. Care is high-quality, staff are highly trained, but is there a downside?

Dear Live and Invest Overseas Reader,

Costa Rica was first in the Americas to fully embrace the concept of medical tourism and has a government-backed marketing campaign to push it to the forefront. Here, you can get a knee replaced, have heart valve surgery, get your tummy tucked or your bum lifted—all neatly bundled with round-trip airfare and a vacation at the beach—for a fraction the cost in the United States. Everyone brags about the service, the quality of care, and the amount of time the doctor or dentist spends with you. But is it always so picture perfect?

Four days before our final due diligence trip to Costa Rica, my girlfriend Kristie lost a filling. While we were here to sign the purchase agreement on our place, she lost another small one. (I should add here that Kristie hates the dentist. She takes care of her teeth religiously on her own time, but a fondness for sticky sweets has left her teeth in poor repair.)

We'd heard all the stories and decided to find a dentist to do a quick fix while we were in town. We checked out the recommended dental office of "Dr. V" and found the staff were nice and had all the right equipment, and they had an opening in two days.

On the appointment day, a miserable Kristie turned up for the dentist to perform an oral exam, take bite-wing X-rays of the large filling, and find there was enough damage to warrant a crown. After cleaning up the teeth, removing what was left of the filling, and drilling out the underlying cavity, the dentist gave us two options for the damaged tooth: Kristie could get it fixed on our return to the States, or our new Tico buddy could do a temporary crown that would last a few months until our full-time move. We opted for Dr. V's temporary crown. The cost for the whole day? Just US$200.


How Editorial Coverage Effects Overseas Destinations

Welcome To Paradise—Please 
Lock The Door Behind You

Aug. 5, 2014 León, Nicaragua People sometimes complain that increased editorial coverage of an expat destination can have a negative impact. Here’s the truth.

Dear Live and Invest Overseas Reader,

As a writer covering overseas living and real estate, I get my share of comments and complaints. No matter what topic you touch on—from prostitution to condo deals to Wi-Fi on the buses in Uruguay—there's someone out there with something to say. This feedback is good for a writer—and the publisher—as it keeps us connected to the readers.

But there's one topic that I have trouble responding to. It concerns the impact that our coverage can have on the destinations that we write about.

Readers sometimes write to say that our reports are changing the character of a destination...or attracting too many people...or driving up real estate prices. At times, there's even a feeling that the increased attention is changing the very attributes that made a destination attractive in the first place.

The truth is that all of these can be true at times. Editorial impact on an expat destination usually has one of three effects...

For some larger destinations, the effect of more expats moving in is insignificant. In places like Fortaleza (Brazil), Medellin (Colombia), or Montevideo (Uruguay) the high level of reader interest is a drop in the bucket. In Medellin, I see more North Americans all the time...but in a town of more than 4 million people, a few hundred expats is hardly changing the culture. 

In other destinations, the coverage (and influx of expats) unquestionably benefits the local community and expats alike. In Quito, for example, North American expats were virtually the only people who were buying the dilapidated, abandoned buildings in the historic center. Today they've been beautifully restored into colonial homes, tasteful condos, restaurants, and boutique hotels. No one can deny that everybody won: the historic city, those who initially invested, and the end-users who got a good deal on the restored properties. 

But the third effect can be a problem. The dilemma arises in cases where the influx of expats has actually changed the character of the destination. And whether you perceive it as good or bad depends on your personal role in the situation and when you came on the scene. In this category I'd include places like Roatan (Honduras), Vilcabamba (Ecuador), Granada (Nicaragua), and Boquete (Panama).


Living With The Unpredictable In Hanoi, Vietnam

Do You Ever Get Used To It?

Aug. 4, 2014, Hanoi, Vietnam: Living in the exotic city of Hanoi brings with it new levels of noise and chaos and an overall sense of wonder.

Dear Live and Invest Overseas Reader,

Walking down a street near our house in Hanoi recently, we passed a group of four tired and miserable looking French tourists taking shelter on the stairs in front of a clothing store. One of them saw us and jumped up to block our way.

"Do you speak English?" she asked plaintively. We reassured her that we did, and with panic in her eyes, she asked us if there was any place to eat around this area. They were lost, hungry, overstimulated, and overwhelmed.

With plenty of restaurants all over the neighborhood, we were a little taken aback by her question but calmly reassured the group that we could take them to "Food Street," an alley of two small blocks just a short walk away that was lined with restaurants. The four of them huddled close to our side as we crossed a moderately busy intersection, hoping that our presence would save them from being run over by the first passing motorcycle. Along the way, one of them asked, "Do you ever get used to it?"

I considered her question and came up stumped. "What 'it' are you referring to?" I asked her.

"It!" she said, the earlier panic still evident in her voice. "The traffic, the chaos, everything!"

It wasn't an easy question to answer. The traffic and chaos can't be ignored here, but after a while, they cease to be an issue. There are ways to cross the street that may seem counterintuitive but are perfectly acceptable and safe in Hanoi. Horns are constantly honking, but they become white noise after a while. The swarms of vehicles swerve and cut each other off, but no one gets road rage and accidents are surprisingly uncommon.

On rare occasions, I still freeze when crossing a busy street. Vehicles don't yield to pedestrians, though they do avoid hitting them. You have to take that first step and keep walking, slowly and deliberately, until you reach the other side of the street. Taking that first step can be hard, though. More than once, a tiny, elderly lady has grabbed me by the hand and walked me across the street, acting as a buffer against the onslaught of motorbikes. Where I come from, we help senior citizens cross the street. In Vietnam, they help us.


Choosing between retirement in Barcelona, Spain, or Pau, France

Best Place To Retire In The Old World?
France Vs. Spain

August 3, 2014, Panama City, Panama: A look at what these two Old-World cities have to offer.

Dear Live and Invest Overseas Reader,

Throughout the past decade, as relocating overseas in retirement has become an increasingly appealing idea, communities of expat retirees have developed in places like Ajijic, Mexico, Boquete, Panama, and Cuenca, Ecuador, making those spots particularly attractive to those who want to enjoy the advantages and benefits of being retired overseas but who also want their new lives to be as familiar as possible. Retiring to a new country is no small thing. Relocating to a place where your neighbors speak English and share many of your same life experiences and objectives at this stage can ease the transition and make the whole proposition far less intimidating.

Maybe you'd like to be able to plug into a ready-made community of foreign retirees when reinventing your life overseas, but you don't want to retire to Latin America. More interesting to you is Europe. In that case, you'll be glad to hear that such communities exist on the Continent, too, including in two Old World cities of special appeal: Pau, France, and Barcelona, Spain.

Pau, France

More than 50,000 expats, including many retirees, live in Pau, in the Béarn region of France. This sizable and welcoming community has developed for two reasons—the oil and gas industry and the historical connection of this part of France with the UK.

The oil and gas industry brings many working expats with families to Pau. They come for two- and three-year assignments in the city with the French oil company Total, which has its research headquarters on the outskirts of Pau. The result is an eclectic community that includes people from all over the world—British, Colombians, Mexicans, Dutch, etc. The existence of this group means strong and ever-growing infrastructure, amenities, and services to support and facilitate expat living.


Price Increase Imminent For Mango Investment In Panama

Turnkey Agricultural Investment In My Favorite Save Haven Earns Up To 30% Per Year

Aug. 1, 2014, Panama City, Panama: An investment in this mango plantation in Panama could earn you up to 30% per year.

Dear Live and Invest Overseas Reader,

With drought in California, food prices in the region are rising.

This current crisis will pass, but it helps to make the point: An investment in agricultural property is a better idea every day.

I've been strongly recommending you make productive land part of your investment portfolio for more than five years now. My preference (and beat) is land outside the United States in locations where water sources are more secure and more stable than in places like the Southwest United States.

Panama qualifies. I've invested in timber in this country and, more recently, mangos.

I've recommended this mango opportunity to you in the past. The developer has been busy over the past four months preparing the land for planting. These are serious guys proceeding carefully and meticulously. Their plantation preparations have included sending up a drone every week to map the land to ensure they're getting the drainage slopes right.

The next step is to put the trees in the ground. This works begins tomorrow.


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Kathleen Peddicord

Kathleen Peddicord is the founder of the Live and Invest Overseas publishing group. With more than 25 years experience covering this beat, Kathleen reports daily on current opportunities for living, retiring, and investing overseas in her free e-letter.

Her book, How To Retire Overseas—Everything You Need To Know To Live Well Abroad For Less, was recently released by Penguin Books.

Read more here.


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