Retire to Puerto Rico?
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suzeekyu wrote:A major concern, however, is the availability of good health care.
You're right there. Health care, although it's the best in the Caribbean, isn't as good as you're used to in the mainland.
There is some good info to be found on this forum, I'd suggest you read f.i.聽 this thread: /forum/viewtopic.php?id=359991 and check what Kubla, a MD who works here is writing.
suzeekyu wrote:Due to the fact that I have a chronic autoimmune illness, maybe I should stay in the US!
That might be a wise thing to do.
Nevertheless you could try to find out what medical care here on the island would be available for your specific case.
Good medical care is important and it gets more important while getting older.

suzeekyu wrote:Not sure what you mean about noise聽 -聽 what are you referring to?
Puerto Rico is loud.Loud music, loud cars / motor bikes / scooters / 4-wheelers, loud parties with loud music, loud 'caravanas' (bunch of vehicles on the road for election campaigns or something else). Heck, many people always talk loud, so loud you hear them across a street. Some other (or maybe the same) people have a "circulo de oration" (prayer group) in their porch (bi)weekly and they use big amplifiers and speakers to make sure everybody in at least 5 blocks in every direction hear their singing and praying.
mac00677 wrote:blocks!? We don't have any stinking "blocks" where I live! Peaceful, and quiet here in the mtns of Rincon....
News flash! Not everybody lives in the mountains like you and me...
I hope this doesn't come off as too harsh, but your response shows how little you know about PR (which is fine and is why you're on this forum to learn - I don't mean that as a put down in the slightest way). There is nothing in the US that compares to the noise level in PR. Nothing!
I lived in other places in Latin America where the rule of law means even less than it does in PR (MUCH LESS), and I can tell you that even there, the noise pollution was less than it is in PR.
If you look through my previous threads you'll hear stories... stories about how my in-laws' neighbours kept their large commercial trucks parked right in front of their house every night (completely illegal!), how they had a large diesel storage tank in their front yard about 20 ft. from my in-laws house (completely illegal not to mention dangerous as hell!), how they power-washed these trucks everyday starting at 4 am, even weekends (completely illegal!), how they used their driveway as an industrial "taller" (mechanics shop), how no matter how much my in-laws and others in the neighbourhood begged, cajoled, and finally (legally) threatened them, they never modified a thing, how even when the police and so-called regulatory agencies were called dozens of times, they never did anything to enforce the law because they were all pals with the offenders.
I could go on about my own experiences living in Isla Verde, or my Puerto Rican friends' experiences of how they moved to a gated community in Luquillo that had strict by-laws against noise in order to try and escape the chaos in regular neighbourhoods only to have neighbours who crank reggaeton at all hours of the morning and night anyway with no consequences. The stories go on and on.
If you think these are simply personal anecdotes that are outliers - think again.
There's much that I like about PR. There's much that I used to love about PR. But having been to and lived in over a dozen countries, I can honestly say I've never lived in a place where people are more irresponsible and less considerate than in PR. Unless you're their family member or close friend, they will screw you mercilessly. That goes for little things like power-hosing trucks right in front of your house at 4 am, to not honouring a debt, to setting national records for perjury during routine court hearings, to running you over while you're on a jog and immediately fleeing the scene (this happens all the time).
Almost no one will take responsibility for anything there. So never expect them to.

I am now sitting in my new condo in Humacao and it is extremely quiet.聽 Many of the units are, once again, being purchased as vacation homes.
You still may find a place in PR that isn't noisy like Schuttzie, Mac, Frogrock and Greg suggest. I lived mostly in the the San Juan metro area myself, which naturally was the worst for noise and human behaviour in general. Nonetheless, my in-laws lived mostly in the east, which although wasn't SJ, was still really bad with noise pollution. Every beach I went to had people blaring music on large speakers, often times with one camp of people trying to drown out the out the ridiculously loud music of another camp. You can call all the cops you want but it won't make a difference.
However, many of the beaches in Vieques are noise pollution free because they are on federal land and the federal agencies actually enforce noise pollution bans. That's one reason I love the beaches of Vieques so much.
If I were you, I'd look for a place high up in the mountains (again, as Mac, Gary and others have suggested here). You may or may not have a lot of noise pollution depending on who lives around you but you certainly will have much more pleasant temperatures.
People in the country will be nicer too. Although I find almost everyone in PR to be very nice, my Puerto Rican relatives insist that people from the country are nicer than those from SJ.
That being said, I couldn't agree more with the general sentiment that moving to PR is not like moving to another state in the union. You are moving to Latin America, with all the good things (and not so good things, depending on your perspective) that this entails.
I would not advise a move to Puerto Rico if you suffer a chronic autoimmune condition. Unless you have great private insurance, lots of patience for waiting rooms, and live in the San Juan metro area, I think you would be putting yourself in a great deal of unnecessary risk. I have actually advised several patients with autoimmune conditions to move back to the US due to the difficulties we had in accessing the care they needed.
There are some conditions like simple diabetes, blood pressure, etc that can be cared for by many providers, but specific autoimmune conditions are going to need specialist care and there are few specialists left on the island, fewer still that accept public health insurance plans (medicaid or medicare). You also mentioned wanting a simple, peaceful life in the mountains and the San Juan metro area is certainly not that! Puerto Rico is a beautiful place and has many things to offer, but there area also many downsides to living here and your health is important, without it life isn't much fun.
Yes, I wish that there were improvements in the healthcare in Puerto Rico.聽 However, based my personal experiences (the one involving my Mom, plus others I have had in the past), I choose to be in Puerto Rico.
frogrock wrote:My condo in Arroyo is in a community which is mostly vacation homes.聽 Ninety per cent of the time it is ghostly quiet.聽 It is noisy on holiday weekends. And, I must admit, the parrandas during the Christmas season are fun.聽 On New Year's morning, we were all sitting on the beach to greet the sunrise.
I am now sitting in my new condo in Humacao and it is extremely quiet.聽 Many of the units are, once again, being purchased as vacation homes.
Yes, I've lived in Arroyo... it's a nice, quiet town too.
聽 聽 My husband, my now 19 year old grandson and I moved to PR in May of last year. We are retired also and stayed with some family in Humacao for 3 long weeks while looking for a home.
聽 聽 聽We went searching on the east coast of the island and found several nice places but nothing for us. There was one house in Yabucoa which was nice but it was in the mountains, which was okay but it had a very long steep driveway. Then we came to the northwest coast beginning in Vega Alta and finally in Quebradilla where we live now.
聽 聽 聽 I am not saying that it was easy adjusting but I surprisingly got accustomed very quickly.聽 We are both Puerto Rican so are fluent and my husband had been stationed at Ramey AFB many years ago and we had lived in Aguadilla so we know the area a bit. He was born in San German which is south of Mayaguez on the southwest of the island and still visit family there.
聽 聽 聽 I am a diabetic and am under doctor care and have found that the Centro de Salud (Health Center) here in town is pretty good. The Doctor which I have is nice and the services are adequate.聽 You have to wait for your turn even with an appt. but that is typical. My husband also had Sarcoidosis and had it treated in the U.S. at a Veteran Hospital and he hasn't had any problems with that here. We are planning to visit the Vet clinic in Arecibo soon for him to get a checkup, etc.
聽 聽 聽I had told him that if there is ever an emergency with me, I want to go to NY or at least FL. to get treated but in a pinch, there are 2 emergency rooms here in town and they are opening one at the clinic. I feel confident that the care at the ER will be good. I hope that I never have to find out.
聽 聽 In regard to the loud music and stuff, sure it exists and that it part of life but we live in a quiet little section out of town which has wonderful breezes and views of the ocean. Sure during the holidays, there are always parties going on and music blasting but it never goes beyond 12-1am(at least where we are).
聽 聽 聽The food is expensive, I have to tell you but it is manageable. As long as you don't have expensive taste, you will do okay. The basics are about the same as the U.S. in regard to quality there are many fruit and veg. vendors around. My husband began a small garden where he has tomatoes, lettuce, string beans, and eggplant . We also have a gigantic avocado tree that bloomed so many avocados, that he ate 2 a day all summer and fall. We have a lemon, grapefruit and orange tree also and I am anxiously awaiting them to bloom.
聽 聽 聽 Life here is simple and wonderful. Our time is our own and if we want to go out, there are plenty of places to go and things to see and being from NY(Long Island), we really appreciate the warm weather and NO SNOW !!!聽 Where are you from in Upstate? I lived for 2 years in Catskill and still have a very dear friend there.
聽 聽 聽I hope that this has helped a little. You have to make the best decision for your self. Take care.
Tonie
kubla wrote:I would not advise a move to Puerto Rico if you suffer a chronic autoimmune condition. Unless you have great private insurance, lots of patience for waiting rooms, and live in the San Juan metro area, I think you would be putting yourself in a great deal of unnecessary risk. I have actually advised several patients with autoimmune conditions to move back to the US due to the difficulties we had in accessing the care they needed.
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