Articles

Medicine shortages, payment failures, and overwhelmed hospitals plague Ecuador's public system. But for expats in Cuenca, private healthcare remains remarkably affordable — if you know how to navigate your options.

Cuenca remains one of the most affordable cities for expats in the Americas, but costs are rising faster than they used to. Here's an honest, line-by-line breakdown of what it actually costs to live here in 2026 — and how to stretch your dollars further.

Ecuador's social security system just changed how it calculates voluntary affiliate contributions, and the new numbers are giving expats sticker shock. Here's what you're actually looking at now, whether IESS is still worth it, and how it stacks up against private insurance.

Cuenca's real estate market is defying Ecuador's broader economic headwinds. Property values are up 8-12% annually, rents are surging in expat-popular neighborhoods, and the investor visa threshold just went up. Here's a practical breakdown of what's happening and how to navigate it.

Cuenca's first rural municipal hospital opens February 1 in El Valle parish. The $8.2 million facility brings 31 medical specialties, two operating rooms, and round-the-clock emergency services to the southern parishes.

Cuenca's largest public hospital is operating at 62% of needed medications and 61% of medical supplies. The Ministry of Health has delivered emergency shipments, but challenges persist.