I have investigated the socialized med systems in Ecuador, Colombia and Mexico, and CR, all available to bona fide expats who have cedula. None even comes close to Medicare, which one would have to give up if seriously intending to live in those countries.
On the other hand, in USVI, healthcare is sparse and unpredictable. Meanwhile, in PR, I'm very concerning about (1) the quality of care (not a problem in the old days) and 2) lack of Advantage plans (only 1 I guess, Humana), and 3), most important, experienced docs leaving, in particular specialists, leaving behind docs in their 30s with little experience and only there fulfilling the payback requirement.
So, would like to hear from those of you who have had good and/or bad experience with this.
Why PR? I guess because it's the poor man's Kona. If you say you're interested in a 2/2 condo in Kona for under $500K, they laugh at you. I guess you could say I'm addicted to warmer climates, including, now, Tucson, but have lived in Palm Springs, Vegas, Scottsdale, Myrtle Beach (horrible), and, yes, when younger, lived and work on O'ahu.
DM