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I've been to almost every country in Western Europe for work but we never really have looked at them as a retirement location. The cost of living is similar to here and immigration is quite a bit harder than Latin America. I have not been to Spain though my wife has. It is a popular expat retirement location so we might take a look.
I've also been to Guatemala, Peru, and Chile for work. We have started focusing our vacations on potential retirement locations the past 3 years.
Learning Spanish opens up so many opportunities (and helps me in my current job) That gives us the option to pick up and move if conditions change or the option to slow travel up and down Latin America. (Slow travel is WAY cheaper than they typical fly in / fly week or two vacation.)
As to medical care, Costa Rica has Level II trauma centers and US and European trained staff. The national system is very focused on preventive care and catching issues early.
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