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I agree 2gifts. Many folks are on vacation and just want to be "home": familiar surroundings, familiar people, available to address "work" issues... All that.

When US people move from one city or state to a distant US city or state, do they return to their previous "home" for health care?

Then again, there's the "fear" of being ill/injured and treated by the "unknown"- I.e the trope that "US is best".

These are potential answers to Ray's wife's question.

What's an expat to do when they move to a new place?

I've an expat friend who is about 20 years in Portugal. She WILL NOT return to the US for medical treatment. She's had at least equal care for less out of pocket. She anticipates assisted living, nursing home, and death in Portugal.

I've gotten dental in Mexico. I'll get more, too.

As has been mentioned up thread, there are many expat communities around the world, suggesting that acceptable health Care is not an issue?

🙂
ralph
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