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.

If you earned more than $12,081 in 2025 or have interest income from Ecuadorian bank CDs, the SRI wants to hear from you. Your first deadline is this month. Here's the timeline.

If you bought a new vehicle in the last two weeks and couldn't register it, the wait is over. The ANT just restored new vehicle registration in Cuenca after a corruption scandal shut the system down nationwide. Here's the backstory and what you need to do.

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.