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	<title>Miss Move Abroad &#187; life abroad</title>
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	<description>what will you take with you, what will you leave behind?</description>
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		<title>In Costa Rica, airplane-bar tells tales of covert ops past</title>
		<link>http://missmoveabroad.com/in-costa-rica-airplane-cum-bar-tells-tales-of-covert-ops-past/</link>
		<comments>http://missmoveabroad.com/in-costa-rica-airplane-cum-bar-tells-tales-of-covert-ops-past/#comments</comments>
		<pubDate>Tue, 25 Oct 2011 21:24:45 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[life abroad]]></category>
		<category><![CDATA[airlines]]></category>
		<category><![CDATA[Costa Rica]]></category>
		<category><![CDATA[hotels]]></category>
		<category><![CDATA[transportation]]></category>

		<guid isPermaLink="false">http://missmoveabroad.com/?p=249</guid>
		<description><![CDATA[One of the pleasures of living abroad is starting to see world history and events from another&#8211;often radically different&#8211;angle. You can start to make that shift pretty much anywhere&#8211;reading the local newspaper at your favorite expat cafe, exploring a crumbling castle, or talking politics with the guy who repairs your car with tin foil and [...]]]></description>
			<content:encoded><![CDATA[<p>One of the pleasures of living abroad is starting to see world history and events from another&#8211;often radically different&#8211;angle.</p>
<p>You can start to make that shift pretty much anywhere&#8211;reading the local newspaper at your favorite expat cafe, exploring a crumbling castle, or talking politics with the guy who repairs your car with tin foil and fishing wire. But some places are particularly well-suited for contemplating history from a decidedly local perspective.</p>
<div id="attachment_250" class="wp-caption alignleft" style="width: 265px"><img class="size-full wp-image-250         " style="border: 2px solid black; margin: 7px;" title="ElAvionCostaRica" src="http://missmoveabroad.com/wp-content/uploads/2009/08/EleganceMagavion.jpg" alt="Covert ops hottie visits El Avion bar? The C.I.A. should be so lucky." width="255" height="350" /><p class="wp-caption-text">Covert ops hottie visits El Avion bar? Lovers of freedom should be so lucky.</p></div>
<p>An old plane sits grounded atop a lush hillside on Costa Rica’s Pacific coast. The battered Fairchild C-123, built in 1954 and now part of a popular open-air bar, is the perfect place to nurse a cold <em>cerveza</em>, watch the sunset, and remember a bizarre chapter in history: the <a href="http://en.wikipedia.org/wiki/Iran%E2%80%93Contra_affair">Iran-Contra affair</a>, which from this Central American vantage point would more accurately be called the Contra/Iran affair, with the illegal arms sale to Iran a minor chapter in the 80s-era U.S. covert funding of armed guerillas (the Contras) bent on bringing down Nicaragua’s Sandinista government.</p>
<p>Part of the Costa Verde hotel, the <a href="http://www.costaverde.com/avion01.htm">Avion Bar</a> is the perfect place for ruminating on that 1980s arms-for-hostages-and-while-we’re-at-it-let’s-fund-some-paramilitaries scandal because the plane itself played a starring role in the fiasco.</p>
<p>The plane was dubbed “Ollie’s Folly” for its connection to Oliver North, chief architect of a covert operation—lodged firmly in the heart of the Reagan administration—that funded and provided military assistance to the Contras.</p>
<p>Though the U.S. government supported the Contras in the early 1980s, Congress cut off all funding in late 1984, afraid that Nicaragua would become the next Vietnam, and alarmed by reports that the C.I.A. had secretly mined Nicaraguan harbors.</p>
<p><strong>Who needs Congress when you’ve got Ollie North?</strong></p>
<p>Despite signing into law the bill cutting off all funds to the Contra’s paramilitary operations, Reagan ordered his staff to find a way to help the Contras keep ‘body and soul together,’ in his words. Reagan and his staff—especially those in the National Security Council (NSC), secretly raised $34 million for the Contras from other countries, with an additional $2.7 million from private contributors, and later, with funds from the illegal arms sale to Iran. This money was funneled into a private company called ‘the Enterprise,&#8217; and put under the direction of Lieutenant Colonel Oliver North.</p>
<p>The Enterprise had its own operatives, Swiss bank accounts, airfields, and airplanes, including two Fairchild C-123s, one of which now holds up the roof of the Avion bar.</p>
<p>For 16 months in the mid-1980s, the Enterprise provided covert aid to the Contras—aid that the U.S. Congress had specifically prohibited. When U.S. and world press caught wind of the operation and reported on it, Reagan, National Security Adviser Robert McFarlane and other administration officials repeatedly assured the public (and Congress) that nothing illegal or untoward was going on.</p>
<p><strong>The game is up</strong>.<br />
But on October 5, 1986, evidence to the contrary fell to earth over southern Nicaragua. A plane carrying supplies to the Contras was shot down; the two pilots were killed, but Eugene Hasenfus, a former Marine from Wisconsin who’d been hired by the C.I.A., parachuted to safety, only to be captured by Nicaraguan government forces. Hasenfus’ capture was instrumental in uncovering the U.S. covert operation providing money and military help to the Contras. The plane shot down that October day was the sister plane to the one now reincarnated as a hilltop bar in Costa Rica.</p>
<p>Allan Templeton, owner of the Costa Verde hotel, was intrigued by the plane’s history and bought it in 2000 for $3000. Templeton had <a href="http://www.costaverde.com/avionmove.htm">the plane moved</a>, at great expense and trouble, to its current perch close to Manual Antonio,</p>
<div id="attachment_253" class="wp-caption alignright" style="width: 310px"><img class="size-medium wp-image-253  " title="The-Fuselage-suite-Costa--002" src="http://missmoveabroad.com/wp-content/uploads/2009/08/The-Fuselage-suite-Costa-002-300x224.jpg" alt="The 'fusilage suite' at the Costa Verde hotel in Costa Rica" width="300" height="224" /><p class="wp-caption-text">&#39;Fusilage suite&#39; at Costa Verde hotel</p></div>
<p>Costa Rica’s most popular national park. The Costa Verde has a taste for giving old modes of transport new life—recently, they transformed a 1965 Boeing 727 into a <a href="http://www.costaverde.com/727.html">high-end ocean-view suite</a>. And they just opened what must be one of the few places in Costa Rica where you can get a Hebrew National kosher hot dog. It’s called The Wagon, and it&#8217;s housed in an old train car.</p>
<p>But let’s return to the 1980s for a minute. What happened in Nicaragua back then didn’t stay in Nicaragua. In fact, Ollie North had a secret airstrip built in Costa Rica to support his covert ops in Nicaragua, then got himself barred from Costa Rica for life for that and for his alleged part in drug smuggling to fund the Contra effort.</p>
<p><a href="http://www.livingabroadincostarica.com/" target="_blank">More information on traveling and living in Costa Rica.</a></p>
<p>For more information in the Iran/Contra Affair: <a href="http://www.presidency.ucsb.edu/PS157/assignment%20files%20public/congressional%20report%20key%20sections.htm" target="_blank">U.S. Congress Iran Contra Committee: Key Findings in 1987</a></p>
<p>Photos: <a href="http://costaverde.com/">Costa Verde Hotel</a>.</p>
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		<title>Seven steps to moving abroad</title>
		<link>http://missmoveabroad.com/seven-steps-to-moving-abroad/</link>
		<comments>http://missmoveabroad.com/seven-steps-to-moving-abroad/#comments</comments>
		<pubDate>Mon, 11 Jul 2011 01:19:40 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[before you go]]></category>
		<category><![CDATA[life abroad]]></category>
		<category><![CDATA[news]]></category>
		<category><![CDATA[cost]]></category>
		<category><![CDATA[expat stats]]></category>
		<category><![CDATA[tools for moving abroad]]></category>
		<category><![CDATA[working abroad]]></category>

		<guid isPermaLink="false">http://missmoveabroad.com/?p=764</guid>
		<description><![CDATA[A global survey conducted by Gallup between 2008 and 2010 (which interviewed adults from 146 countries housing more than 93% of the world’s population) has revealed that 630 million people from around the world would love to move abroad if they had the chance. That’s quite some statistic!]]></description>
			<content:encoded><![CDATA[<p><em>by Rhiannon Davies</em><strong><strong> </strong></strong></p>
<p>A global survey conducted by Gallup between 2008 and 2010 (which interviewed adults from 146 countries housing more than 93% of the world’s population) reveals that 630 million people from around the world would love to move abroad if they had the chance.</p>
<p>That’s quite some statistic!</p>
<p>It proves that the world has become a much smaller place, and one so many more of us really want to explore in-depth.</p>
<p>So, if you have a yearning, burning desire to move abroad and explore new horizons, here’s how to realise your dream in 7 easy steps.</p>
<p><strong>Step One – Identify Your Country Choice Carefully</strong></p>
<p>You may have been seduced by the sunshine in your latest holiday haunt, but fine weather is not sufficient reason to commit to a brand new life living in a given nation.</p>
<p>Your chosen country needs to tick many boxes – can you legally live (and work) there, is it safe, is it affordable, is it culturally and linguistically accessible?</p>
<p>Research a chosen nation very carefully before you commit to calling it your new home abroad.</p>
<p><strong> </strong></p>
<p><strong>Step Two – Tie Up All Loose Ends</strong></p>
<p>Don’t just jet off at the drop of a hat.  For one thing it will make it much more likely that you’ll have to return at a later date to tidy up your affairs.</p>
<p>It’s much better if you plan carefully before leaving your current country.  Cancel services and rental contracts, inform the tax authorities of your decision, say proper goodbyes to family and friends and make sure you won’t have to return home in a hurry to cancel something silly like a newspaper subscription!</p>
<p><strong> </strong></p>
<p><strong>Step Three – Remember That Money Matters!</strong></p>
<p>Money makes the world go round – what’s more, money is the key enabler to ensuring your success living abroad in a new nation.</p>
<p>You need to be able to afford the transportation costs overseas, you then need to be able to afford to set up a new home.  Going forward you need to ensure you can afford to live a decent lifestyle based on the local economy in your new country.</p>
<p>Think about how much you have saved up, how you have your money invested, whether you can work locally and if local wages will be sufficient to enable you to live at least a decent quality lifestyle abroad.</p>
<p>Do NOT ignore the many financial aspects of relocation – getting money matters wrong accounts for the majority of expats who have to give up their dream and head home.</p>
<p><strong> </strong></p>
<p><strong>Step Four – Don’t Burn Your Bridges</strong></p>
<p><strong> </strong>No matter how happy you will be to tell your boss to stick his job, and no matter how glad you will be when you never have to see your neighbour/ex-spouse/work colleague again…keep in mind that you may one day decide to return home!</p>
<p>Even the most dedicated expats can sometimes change (or be forced to change) their mind about their permanent relocation overseas.  So, don’t burn your bridges back home…just in case.  [Read more about <a href="../leaving-your-job-and-country-don%E2%80%99t-burn-bridges/">not burning bridges</a> as you plan your escape.]</p>
<p>Bite your tongue and just be quietly satisfied that you’re in pursuit of your dreams whilst all those around you remain stuck in one place.</p>
<p><strong> </strong></p>
<p><strong>Step Five – Become a List Maker</strong></p>
<p>There is an awful lot to practically organise ahead of your relocation; it pays to draw up a checklist so that no element of the relocation is overlooked.</p>
<p>List what you need to do in order to gain permission to relocate, assuming you need to apply for a visa to move to your chosen nation.</p>
<p>Detail all the loose ends you have to tie up at home such as handing in your notice at work and on your home rental contract, amending insurance policies, applying for a new passport for the family pet, and getting inoculations done perhaps.</p>
<p>List down the elements of your new life that you have to get sorted in advance of your move – such as finding a home to rent overseas, if only for the short-term while you settle in.</p>
<p>In spending a considerable amount of time dedicated to making your unique list, you will ultimately save yourself time and perhaps even money and delays, because you will be able to walk easily along the path to emigration by following the demarked stepping stones on your checklist.</p>
<p><strong> </strong></p>
<p><strong>Step Six – Be Adaptable</strong></p>
<p>The people who find it easiest to settle in overseas have the most adaptable personalities!  No matter how well you plan your move, no matter how clearly you can visualise your new life, elements of your plan will change, and you will come across surprises and even challenges as you integrate overseas.</p>
<p>Roll with the changes and embrace the challenges; become adaptable and flexible if you want to thrive in your new environment.</p>
<p><strong>Step Seven – Set Your Sights and Commit</strong></p>
<p>With your checklist written and your mind clear about the country you want to live in, set your sights firmly on achieving your dream of moving abroad.</p>
<p>Those who set goals in life are statistically far more likely to achieve their ambitions – fact!</p>
<p>So, see moving abroad as your goal, set your sights on making it happen, and marvel at how the elements of your life will stack up and come together thanks to your concerted efforts.</p>
<p>In no time at all you will have moved abroad and be living the lifestyle of your dreams.</p>
<p><em>Rhiannon Davies  is the editor of <a href="http://www.shelteroffshore.com/">www.ShelterOffshore.com</a>, a website dedicated to those <a href="http://www.shelteroffshore.com/index.php/living/">living abroad</a>.</em></p>
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		<title>Expat Life in Benin, West Africa</title>
		<link>http://missmoveabroad.com/expat-life-in-benin-from-flaky-croissants-to-voodoo-fetishes/</link>
		<comments>http://missmoveabroad.com/expat-life-in-benin-from-flaky-croissants-to-voodoo-fetishes/#comments</comments>
		<pubDate>Tue, 11 Jan 2011 23:53:22 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[life abroad]]></category>
		<category><![CDATA[true expat tales]]></category>
		<category><![CDATA[world culture]]></category>
		<category><![CDATA[cultural difference]]></category>
		<category><![CDATA[expat communities]]></category>
		<category><![CDATA[expat stories]]></category>
		<category><![CDATA[working abroad]]></category>

		<guid isPermaLink="false">http://missmoveabroad.com/?p=614</guid>
		<description><![CDATA["In the three years I've lived here," writes expat Randall Wood, "I've drunk whiskey with kings, been the victim of a mob throwing coconuts, surfed a couple of decent waves, and rubbed elbows with a culture that three years later, I still barely know and perhaps never will.]]></description>
			<content:encoded><![CDATA[<p>by Randall Wood</p>
<p>Don&#8217;t worry if you&#8217;re not familiar with the West African nation formerly known as Dahomey: it is infrequently mentioned by the international press in a continent where no news is good news. A French colony until the 1960s, Benin is a tiny nation tucked under the Elephant Ear of West Africa, and is best known for being one of the continent&#8217;s stronger democracies.</p>
<p>I live in the city of Cotonou, whose name in the local language (Fon) means &#8220;River of Death.&#8221; And regardless of what Cotonou is today, it will forever retain the soul of a slaving hub at the mouth of a river that carried an unfortunate cargo down to the waiting slave ships.</p>
<p>For the moment, Cotonou is my home, and this message comes to you live from the River of Death.</p>
<p>In the three years I&#8217;ve lived here I&#8217;ve drunk whiskey with kings, been the victim of a mob throwing coconuts, surfed a couple of decent waves, and rubbed elbows with a culture that three years later, I still barely know and perhaps never will.  This is, of course, the thrill of travel and of living in a foreign country.</p>
<p>The expat life in Cotonou isn&#8217;t bad. Benin is essentially a safe country, especially compared to Nigeria, our neighbor to the east.  Here, you are at constant risk of annoyance, hassle, and occasional petty theft, but physical aggression is rare, very rare and frankly, I&#8217;m safer here than I would be in any large American city (see exception at end of article).</p>
<p>Cotonou is less a city than a large village; large parts of the streets off the principal arteries are sandy and potholed. &#8220;Downtown&#8221; is little more than a few dozen shops and a traffic jam, and most Africans do their shopping in the sprawling, chaotic Dantokpa Market, at whose heart lies a vibrant Voodoo fetish market.  We can get better tasting croissants and pastries here than in Washington DC, but we&#8217;ll wait for weeks before one of the local supermarkets has cream cheese.  We&#8217;ve got talented leather workers, tailors, and artists, but can&#8217;t get the parts to fix the air conditioner. And though we successfully dodge the bullet of the European winter, it&#8217;s frequently so hot outside that we sweat while toweling off from the shower.</p>
<p><strong>Cost of living</strong></p>
<p>Benin is expensive. The country produces little in the way of agricultural products, and as a result, most of what we consume has been imported at great expense. I&#8217;m speaking about expat staples like milk, wheat flour, jam, butter, breakfast cereal, cookies, and such: they&#8217;re not cheap. The dependence on imports makes just about everything expensive, from gasoline to bread to shoelaces to butter: it all comes in on ships.</p>
<p>We also have the option of the local food.  The Beninese diet is similar to the cuisine across much of the continent: starchy pâte, a sticky, doughy blob usually made of pounded yam, corn, or manioc, over which a spicy vegetable or meat sauce is poured.  It&#8217;s spicy, and too heavy for every day, but not bad when I do eat it.</p>
<p><strong>Dinner parties, orange sand beaches, and infinite minor hassles</strong></p>
<p>Cotonou&#8217;s two biggest defects are that (a) everything is harder to accomplish than it should be, and (b) there&#8217;s not a whole lot to do.  We don&#8217;t even have a movie theater (and never will, given the thriving market for pirated DVDs).  As a result, the expat community takes care of itself in the old way: endless dinner parties, cocktail hours, and invitations.  I&#8217;m not complaining, and it&#8217;s a healthy reminder of how communities behaved in the days before everyone sequestered themselves in their personal pleasure palaces with their video game consoles, broadband Internet, and other toys.  It&#8217;s a revolving community as the expats rotate through, but participating in such a diverse and friendly community is pleasant.</p>
<p>Weekends I&#8217;m at the beach surfing (there&#8217;s a halfway decent bar break along the coast), or relaxing on the orange sand beach. Evenings I walk the dogs around the neighborhood&#8217;s sandy streets, read and write. It&#8217;s a simpler lifestyle than the one I lived back in the States, but it has its advantages, and I personally find elegance in simplicity. I also experienced the Harmattan for the first time here, an awe-inspiring meteorological phenomenon born in the Sahara desert: the wind turns 180 degrees during two months and comes from the Sahara, bearing a fine sand that settles everywhere and darkens the afternoon skies.  I sometimes think that experiencing things like this are why I travel, although putting down a shot of whiskey with a king is a pretty cool reason too.</p>
<p>The fact that everything is harder than it should be, though, is the one that slowly eats at your soul: parking, driving through chaotic traffic, arguing with the same people over the same prices every single time, dealing with lousy service, bureaucratic processes that seem both pointless and endless, and the infinite minor hassles that accompany every single transaction is tiring.</p>
<p>Tiring, too, are the repeated power outages, water outages, cell phone outages, the system resets at the Internet provider, the fast broadband that&#8217;s actually slow, the saturated cell phone networks, and the phone lines that don&#8217;t permit easy calls.  I think back to the days before these services and remember I should be grateful.  But the constant outages are wearing, and in sum lead to the only remedy possible: travel to someplace else once every 4 months.</p>
<p><strong>Benin: birthplace of Voodoo (aka Voudoun)</strong></p>
<p>I mentioned Voodoo. It&#8217;s Vaudoun, actually, but yes, Benin is the birthplace of the world&#8217;s most misunderstood religion.  Haitians are the second most populous followers of Vaudoun, but it&#8217;s because the slave trade carried Beninese to the Caribbean island that Haiti gained the religion.  If you&#8217;re thinking &#8220;Serpent and the Rainbow,&#8221; you are way off; Vaudoun at its roots is an animist religion with strong ties to the natural earth, and a belief in good and bad forces that would be recognizable by anyone who ever watched a Star Wars movie.  Large parts of Benin believe in Vaudoun, but there are lots of Christians and Muslims as well, and everyone seems to live together in a peace much of Africa (not to mention the Balkans!) should envy.</p>
<p><strong>Legacy of the slave trade and modern-day slavery</strong></p>
<p>But there&#8217;s no escaping the legacy of slavery here.  You see it in the disorganization, the mistrust, the difficulty with which the Beninese work together toward common goals.  As a white American who experienced the story of the slave trade in middle school textbooks and who thought of the whole story as ancient history, it is eye-opening to see the impacts of slavery in the 21<sup>st</sup> century, and to learn that slavery is in no way ancient history in one of the countries that experienced it first hand.</p>
<p>In fact, slavery continues to this day, and not just in Benin.  Throughout Africa, families &#8220;lend&#8221; their children &#8211; sometimes permanently &#8211; to construction projects in the city.  These children are poorly paid, sleep on the ground, and remain uneducated for their entire lives.  Call it what you like, but slavery in some form remains a real part of life here.</p>
<p><strong>An elegant austerity</strong></p>
<p>But let&#8217;s go back to the fact that three religions and a half dozen ethnic groups have been able to live in relative harmony in one of Africa&#8217;s stronger democracies. Benin: quiet, mostly unnoticed, little understood.  It has suffered mightily, and never makes the headlines. Life as an expat here can be frustrating, but not necessarily dangerous. It&#8217;s expensive and somewhat boring, but in its simplicity and sparseness it brings elegance to austerity. And from the point of view of a foreigner trying to get a job done, I&#8217;d say that being at the center of such a whirling, swirling mass of humanity trying to better its situation is amazing. Life at the mouth of the River of Death is actually pretty peaceful.</p>
<p>Will we next see vacation home for swarms of winter-evading European retirees?  Not likely.  It’s the kind of place that sends you eventually on your way with more questions than answers, and the conviction you understand less of the world than you did when you arrived. In short, Benin will change you, as it has changed me.</p>
<p>&#8212;&#8212;-</p>
<p>(1) There&#8217;s one notable, horrible exception.  Peace Corps Volunteer Katie Puzey was assassinated in her sleep in March, 2009.  A stellar volunteer, well-loved by her community and extremely well integrated into the village where she lived, the motives for this atrocious murder are not yet known, and to date, justice has not been rendered.  We will not forget!</p>
<p><strong><em>Randall Wood is the co-author of </em>Moon Handbook Nicaragua<em> and </em>Moon: Living Abroad in Nicaragua<em>.  He currently manages a $300M development program in Benin and has lived overseas for over a decade.  This article appeared simultaneously at <a href="http://therandymon.com/">www.therandymon.com</a>).</em></strong></p>
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		<title>Panama expert on pets, Walmart, &amp; traveling as a single woman</title>
		<link>http://missmoveabroad.com/panama-expert-on-pets-walmart-traveling-as-a-single-woman/</link>
		<comments>http://missmoveabroad.com/panama-expert-on-pets-walmart-traveling-as-a-single-woman/#comments</comments>
		<pubDate>Mon, 01 Nov 2010 23:32:19 +0000</pubDate>
		<dc:creator>mbutterman</dc:creator>
				<category><![CDATA[before you go]]></category>
		<category><![CDATA[life abroad]]></category>
		<category><![CDATA[cultural difference]]></category>
		<category><![CDATA[eating abroad]]></category>
		<category><![CDATA[Panama]]></category>
		<category><![CDATA[safety]]></category>
		<category><![CDATA[shipping]]></category>
		<category><![CDATA[women]]></category>

		<guid isPermaLink="false">http://missmoveabroad.com/?p=723</guid>
		<description><![CDATA["The first thing you have to understand about moving to Panama," says Miriam Butterman, author of Living Abroad in Panama, "is that you are not so much moving to the 'sticks' as you think you are."]]></description>
			<content:encoded><![CDATA[<p>An aspiring expat asks Miriam Butterman, author of <a href="http://www.amazon.com/Living-Abroad-Panama-Miriam-Butterman/dp/1598802437/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1288309846&amp;sr=1-1">Living Abroad in Panama</a>, about fast food, small dogs, and relocating as a single woman.<em><br />
</em></p>
<p><em>Q: I have been talking my mother into retiring in Panama . I just bought your book and received it yesterday. I am through half of it and already and skimmed the rest so far&#8230; but still have  questions.  Are there any fast food chains there such  as McDonald&#8217;s or KFC?  And for shopping I didn&#8217;t see any names of stores I  have heard of for basic shopping. I see they have a mall, but what  about maybe a WalMart? </em></p>
<p><em>I read about pets but have heard many horrific  stories contrary to what you wrote about&#8230; so for the record, would our  dogs be in quarantine or taken from us at any time? We have small dogs  would they be in danger in the yard with snakes and large birds? </em></p>
<p><em>Also I  really love your book so far and am very excited about finishing it. I  am ecstatic about moving to Panama and plan a scouting trip next Spring.  I will be traveling alone (female)&#8211; how  safe is it there to travel alone and do you have any connections for  me? </em></p>
<p>Miriam Butterman answers:</p>
<p>First of all, congratulations for asking some pretty significant questions with relation to your daily life, as this could be your everyday life soon and you will want to be comfortable at every minor level.</p>
<p>I think the first thing you have to understand about moving to Panama  is that you are not so much moving to the &#8220;sticks&#8221; as you think you are.  There are plenty of good restaurants that serve American fare, without  even having to go to the fast food option (I&#8217;m a health nut). If you feel safer with familiar food, there are American chains such as TGIF&#8217;s and  Benniganns in Panama City. There are  also a lot of McDonald&#8217;s and KFC;  Wendy&#8217;s is a local favorite and Taco Bell arrived  in 2009. Still, Panama has some great original burger joints, and many other options for  all kinds of ethnic fare, including delicious Panamanian food, which is  usually grilled fish or meat, (they love <em>chorizos</em> &#8212; sausages). The El Rey, Super 99 and Riba Smith grocery stores have plenty of U.S products available. You can stock your  kitchen with all the foods you love from home, and you won&#8217;t blink an  eyelash to being abroad. (Still, be adventurous and shop for some local  stuff, Panamanian food is delicious!)</p>
<p>As for shopping, you won&#8217;t be at a loss for anything. The malls have a lot of WalMartesque  stores. It&#8217;s almost overwhelming.  Price Costcos (Price Smart in Panama) has a big presence around Panama City and other major cities in the country. Do-It Center has a big chain of  hardware stores in Panama too. Novey and Rodelag are two more big  hardware/home stores.</p>
<p>I haven&#8217;t shipped my dog <em>to</em> Panama, only from Panama, but I have heard that all animals coming from the US <strong> do</strong> have to be quarantined, and often times this can be a home quarantine. I  don&#8217;t want to give you misinformation, so I highly suggest calling <a href="http:/www.panamapetrelocation.com"> Panama Pet Relocation</a> when you are there, or emailing them. Your dog  will not be with any wild snakes or birds.</p>
<p>Traveling alone is  okay, as long as you are smart and prepared with your transportation  arrangements and your arrival info on hand. In the interior, you might  want to be a little more careful (women especially), but if you have  your destination known and a trusted person to contact when you get  there you should be fine.</p>
<p>You really need to know what you want and  where you are going before you get there. In Panama, you can be  adventurous, but I don&#8217;t know how experienced a traveler you are. If you rent a car and drive towards the Pacific beaches, you&#8217;ll be fine. Start with locations such as the Santa Clara beach just off the Pan American Highway, the road is one long highway and you can&#8217;t get lost. The entrance to the beach is clearly marked about one hour and 25 minutes west of Panama City.   You can&#8217;t miss it and it is always populated. From there you&#8217;ll begin talking to others and you&#8217;ll start to get your bearings and probably some great recommendations while on the road. .</p>
<p>Scout  out carefully where you want to be and what kind of a community you are  looking to be around. Do you want a gated community, with a lot of expat presence, or do you want to get to know other Panamanians and /or live more freely in nature, along the beach or in the mountains? These are questions you have to ask yourself before, during, and after your scouting trip.</p>
<p>I think my book does a pretty good job of  detailing each of the prime areas to live in for expats and how you  might go about doing that. As for contacts, I think the best thing you  can do is to contact a realtor and from there you will start to unravel  some connections. In Panama City, it is a good idea to start off at the  NY Bagel Cafe  just off Via Argentina, as a lot of expats hang out there.</p>
<p>If you are looking  to settle in the mountains or the interior within two hours of Panama  City, you might want to stop at a bed and breakfast called Los Nances in El Valle. It&#8217;s a  cute hotel on the side of the valley and the owners (Bill and Adam Brunner, father and son) also have a lot of real estate   knowledge. The hotel has been under renovation for a while, and their website is not up, but the telephone is (507) 983-6126. Also see  <a href="http://www.amazon.com/Living-Abroad-Panama-Miriam-Butterman/dp/1598802437/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1288309846&amp;sr=1-1">Living Abroad in Panama</a>.</p>
<p>Best of luck on your scouting trip.</p>
<p><em>Photo of hammock by Miriam Butterman</em></p>
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		<title>Eat, Pray, Love author on traveling vs. living abroad</title>
		<link>http://missmoveabroad.com/eat-pray-love-author-on-traveling-vs-living-abroad/</link>
		<comments>http://missmoveabroad.com/eat-pray-love-author-on-traveling-vs-living-abroad/#comments</comments>
		<pubDate>Sun, 05 Sep 2010 04:00:06 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[life abroad]]></category>
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		<guid isPermaLink="false">http://missmoveabroad.com/?p=709</guid>
		<description><![CDATA[Does your talent lie in travel or in living abroad? Though some people are good at both and others not cut out for either, the skill sets involved are surprisingly different. Eat, Pray, Love author Elizabeth Gilbert writes about the distinction.]]></description>
			<content:encoded><![CDATA[<p>Does your talent lie in travel or in living abroad? Though some people are good at both and others not cut out for either, the skill sets involved are surprisingly different.</p>
<p>There’s a great passage about the difference between being a born traveler and a born expat in <em>Committed</em>, Elizabeth Gilbert’s sequel to her astonishingly successful travel memoir, <em>Eat, Pray, Love</em>.</p>
<p><em>Committed</em> is a skeptic&#8217;s look at marriage from all angles, sparked by Gilbert&#8217;s decision to wed Felipe, the Brazilian man she meets in Bali at the end of <em>Eat Pray Love</em>.  (Javier Bardem  plays Felipe in the upcoming movie, which almost makes up for Julia Roberts playing Gilbert.)</p>
<p>The eight chapters of <em>Committed </em>have titles like “Marriage and History,” “Marriage and Ceremony,’ and “Marriage and Subversion.” The event that started Gilbert’s exhaustive look at this hallowed and maligned institution was that she and her boyfriend Felipe were pushed into marriage because the U.S. Department of Homeland Security suddenly decides that Felipe can no longer enter the U.S. Now if she were married to a U.S. citizen, suggests a friendly Homeland Security agent, things might be easier…</p>
<p>But the official hoops they have to jump through and the strains it puts in their relationship are anything but easy.</p>
<p>Gilbert’s experience mirrors some of what I’ve been through—marrying for immigration purposes to a foreign-born lover you’re already committed to, so hey, Why not make it legal so that your lives are easier in the face of capricious and punishing laws? And then the fun (aka trouble) begins, especially if you both have different ideas of just what marriage means.</p>
<p>Although the book is a kaleidoscopic exploration of just that&#8211;what marriage means&#8211;I’m not finding what I was looking for in <em>Committed</em>. For my tastes, there’s not enough about cross-cultural relationships, or about how a relationship can change (and not always for the better) when you make it official. But of course that’s not the book Gilbert set out to write, so I can’t really fault her for not writing what I most want to read. As many writers have noted, when you don’t find what you want to read, well, then go write it yourself!</p>
<p><a href="http://missmoveabroad.com/wp-content/uploads/2010/04/committed-lg.jpg"><img class="alignleft size-thumbnail wp-image-635" style="margin: 7px;" title="committed-lg" src="http://missmoveabroad.com/wp-content/uploads/2010/04/committed-lg-150x150.jpg" alt="committed-lg" width="150" height="150" /></a>What I did find in <em>Committed</em>, on pages 216 – 221, was a sharply drawn description of the differences between a born traveler and a born live-abroader.</p>
<p>Here’s the background: Gilbert and Felipe, her Brazilian honey, are homeless, waiting to have his visa approved so they can both return to the U.S. and start building a life there together. They’re wandering through Southeast Asia, and after six months of such travel and of being with each other night and day, tempers are fraying. Gilbert has been hurrying them from one cheap hotel room to the next, trying to keep their anxiety at bay, when she realizes that that technique doesn’t seem to work for her partner. Gilbert writes:</p>
<blockquote><p>“Like a fussy baby who can fall asleep in a moving car, I have always been comforted with the tempo of travel. I’d always assumed that Felipe operated on the same principle; since he was the most widely traveled person I’ve ever met. But he didn’t seem to enjoy any of this drifting.</p>
<p>…The reality about Felipe, as I was beginning to realize, is that he’s both the best traveler I’ve ever met and by far the worst. He hates strange bathrooms and dirty restaurants and uncomfortable trains and foreign beds—all of which pretty much define the act of traveling. Given a choice, he will always select a lifestyle of routine, familiarity, and reassuringly boring everyday practices. All of which might make you assume that the man is not fit to be a traveler at all.</p>
<p>But you would be wrong to assume that, for here is Felipe’s traveling gift, his superpower, the secret weapon that renders him peerless: He can create a familiar habitat of reassuringly boring everyday practices for himself anyplace, if you just let him stay in one spot. He can assimilate absolutely anywhere on the planet in the space of about three days, and then he’s capable of staying put in that place for the next decade or so without complaint.</p>
<p>This is why Felipe has been able to live all over the world. Not merely travel, but live. Over the years, he has folded himself into societies from South American to Europe, from the Middle East to the South Pacific. He arrives somewhere utterly new, decides he likes the place, moves right in, learns the language, and instantly becomes a local.”</p></blockquote>
<p>So how about you? Are you more of a traveler, like Gilbert, or a born expat, like Felipe?</p>
<p><em>Photo by Erin Van Rheenen</em></p>
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		<title>Eat, Pray, Love: travel porn for the thinking woman</title>
		<link>http://missmoveabroad.com/eat-pray-love-travel-porn-for-the-thinking-woman/</link>
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		<pubDate>Fri, 27 Aug 2010 01:04:49 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[life abroad]]></category>
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		<description><![CDATA[Critic Grace Lichtenstein said the only thing wrong with the travel memoir <em>Eat, Pray, Love</em> was that it was too much like a Jennifer Aniston movie. Turns out it's actually a Julia Roberts movie, which opened August 13. At least viewers get to hear how Spaniard Javier Bardem pulls off a Brazilian accent.]]></description>
			<content:encoded><![CDATA[<p><em>Eat, Pray, Love,</em> Elizabeth Gilbert’s ubiquitous travel memoir, is now a movie starring Julia Roberts as Gilbert. If the trailer is any indication, the film emphasizes the glib aspects of a memoir that teeters between messy real life and staged epiphanies. In the film, our first glimpse of Roberts/Gilbert, reacting to the prophecy of the requisite toothless holy man, shows a flash of Robert’s patented self-satisfied smirk. This doesn’t bode well for the film, which opened August 13.</p>
<p>Here’s the trailer:<br />
<object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="560" height="340" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/iZzmqHJ0gPU&amp;hl=en_US&amp;fs=1&amp;rel=0" /><param name="allowfullscreen" value="true" /><embed type="application/x-shockwave-flash" width="560" height="340" src="http://www.youtube.com/v/iZzmqHJ0gPU&amp;hl=en_US&amp;fs=1&amp;rel=0" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
<p>For those three or four people who&#8217;ve never heard of <em>Eat, Pray, Love</em>, suffice to say that it’s self-realization and travel porn for the thinking woman.</p>
<p>Despite my reservations, I won&#8217;t be able to resist seeing the film anymore than I could resist reading the book. Critics were less than kind. Maureen Callahan called the book &#8220;narcissistic New Age reading.” Lev Grossman said the author was “trying too hard to be liked.” Grace Lichtenstein said the only thing wrong with the book is that “it seems so much like a Jennifer Aniston movie.&#8221;</p>
<p>I agree with all of those critics, and yet I tore through <em>Eat, Pray, Love</em>, reveling in Gilbert’s incisive descriptions of far-flung locales and internal states, spouting select quotes to my friends, and giving the book as a gift to more than one (woman) friend.  Gilbert is compulsively readable, and if afterwards I felt a little queasy about the fast food feast I’d just wolfed down, in the midst of the meal I thought I was absorbing valuable nutrients.</p>
<p>And the film? Well, Javier Bardem plays Felipe, the Brazilian guy Gilbert falls for in Bali. I&#8217;ll go just to hear how a Spaniard tackles a Brazilian accent.</p>
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		<title>More U.S. expats giving up their citizenship</title>
		<link>http://missmoveabroad.com/more-u-s-expats-giving-up-their-citizenship-tax-and-banking-woes-are-prime-motivators/</link>
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		<pubDate>Tue, 27 Apr 2010 19:39:26 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[true expat tales]]></category>
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		<guid isPermaLink="false">http://missmoveabroad.com/?p=625</guid>
		<description><![CDATA[It’s not a decision made lightly, and it’s not, as some might imagine, usually motivated by politics. But more and more expats abroad are giving up their U.S. citizenship, fueled by frustrations over tax and banking questions.]]></description>
			<content:encoded><![CDATA[<p>It’s not a decision made lightly, and it’s not, as some might imagine, usually motivated by politics. But more and more expats abroad are giving up their U.S. citizenship, fueled by frustrations over tax and banking questions.</p>
<p>The U.S., for example, is the only industrialized country to tax its overseas citizens on income earned abroad. That income is often also taxed in the country where it is earned, which means the incoming stream is dipped into not once but twice.</p>
<p>Double taxation is not the only problem for American expats abroad. New banking regulations have made it harder for expats to keep bank accounts in the United States and in some cases abroad. The regulations are intended to curb tax evasion and (under the Patriot Act) to help prevent money from flowing to terrorist groups. “Some U.S.-based banks have closed expats’ accounts,” according to <a href="http://www.nytimes.com/2010/04/26/us/26expat.html?src=me&amp;ref=genera">an article in the New York Times</a>, “because of difficulty in certifying that the holders still maintain U.S. addresses, as required by a Patriot Act provision.”</p>
<p><strong>The numbers</strong></p>
<p>In the last quarter of 2009 (the most recent period for which there are statistics), 502 expatriates gave up their U.S. citizenship or permanent residency status. Though it’s a tiny percentage of the over 5 million Americans the State Department says live abroad, the number is more than twice the total for all of 2008, when just 235 people gave up their citizenship. For all of 2009, the number was 743. And, reports the New York Time, “waiting periods to meet with consular officers to formalize renunciations have grown.”</p>
<p><strong>What about you?</strong></p>
<p>If you’re a U.S. citizen living abroad, have you ever considered giving up your U.S. citizenship?</p>
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		<title>A B &amp; B from the ground up in Costa Rica</title>
		<link>http://missmoveabroad.com/a-b-b-from-the-ground-up-in-costa-rica/</link>
		<comments>http://missmoveabroad.com/a-b-b-from-the-ground-up-in-costa-rica/#comments</comments>
		<pubDate>Mon, 22 Feb 2010 00:52:36 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[true expat tales]]></category>
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		<category><![CDATA[Costa Rica]]></category>
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		<description><![CDATA[The builder went over budget and there were construction delays, but when the Hideaway Hotel opened its doors in 2008, it all seemed worth it. "Local realtors couldn't believe it," says co-owner Doug Ancel. They said, 'You guys actually opened! So many projects end up unfinished ruins.'"]]></description>
			<content:encoded><![CDATA[<p>Though Rosy Rios and Doug Ancel of Reno, Nevada, knew they wanted to run a B&amp;B in Costa Rica, they never intended to build one from the ground up. But that&#8217;s what happened on the way to their <a href="http://www.thehideawayplayasamara.com/">Hideaway Hotel</a>, which opened in 2008.</p>
<p>First, they chose the place, driving the length of the Nicoya Peninsula, looking for a beach town with enough tourist infrastructure to run a business but without the overbuilding and overreaching that can spoil a place.</p>
<p>They came equipped, with backgrounds in business, real estate and construction, and a chunk of savings that would let them take a good shot at their dream. Rosy spoke Spanish, and Doug was learning.</p>
<p><strong>Looking to Buy</strong></p>
<p>Once they settled on Playa Samara, halfway down the peninsula and with a sweeping half-moon beach washed by waves gentle enough for swimming, they had local realtors show them what was on offer.  They looked inland, “in the jungle,” but it was too hot. Places in the town of Samara were “too noisy—roosters, cars, and chain saws,” says Rosy. And when they liked the location, the building didn’t seem right.</p>
<p>They remember that one realtor showed them a hotel, assuring them, &#8220;If you buy this, I guarantee you&#8217;ll make your money back in 5 years.&#8221; Being familiar with the ups and downs of real estate and business, Doug and Rosy knew that a realtor should never in good conscience make such assurances. They put their guard up even higher.</p>
<div id="attachment_572" class="wp-caption alignleft" style="width: 310px"><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/Hideaway028-.jpg"><img class="size-medium wp-image-572   " style="border: 2px solid black; margin: 7px;" title="Hideaway028" src="http://missmoveabroad.com/wp-content/uploads/2010/02/Hideaway028--300x225.jpg" alt="Howler monkey at the Hideaway Hotel on Playa Samara in Costa Rica" width="300" height="225" /></a><p class="wp-caption-text">Howler monkey at the Hideaway Hotel, Playa Samara, Costa Rica; photo by Doug Ancel</p></div>
<p>One day, after months of searching, they turned off the coast highway onto a one-lane road that ran straight to the southern end of Playa Samara. Wouldn&#8217;t it be great, they agreed, to have a place within walking distance of the beach? But there were no hotels for sale on that road.</p>
<p>A little later, in April 2004, they heard through the grapevine that a German woman was selling a 1-acre parcel of land on the very road that inspired their &#8216;wouldn&#8217;t it be nice&#8217; musings. It wasn&#8217;t listed with any realtors.</p>
<p>Doug and Rosy looked at the land and loved it. But it had no structures on it; their dream had been to buy and renovate an existing hotel.</p>
<p>The location, however, was perfect, and the price wasn&#8217;t half-bad. And so, after checking to make sure they&#8217;d have easy access to water, electricity, and phone line, and after some back-of-envelope calculations and late-night soul-searching, they decided to go for it. They did what most people moving to a new country or starting a business have to do at some point: change the master plan in order to accommodate an opportunity that may not come your way again.</p>
<p><strong>Building a dream, from the ground up</strong></p>
<p>Anyone who&#8217;s ever built a house or a hotel knows what comes next. It took Doug and Rosy a little over four years from purchase of property to opening the Hideaway Hotel in July 2008. I&#8217;m sure they could write a book about those four years, but here are a few high (and low) points.</p>
<div id="attachment_573" class="wp-caption alignleft" style="width: 310px"><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/Hideaway016.jpg"><img class="size-medium wp-image-573 " style="border: 2px solid black; margin: 7px;" title="Hideaway016" src="http://missmoveabroad.com/wp-content/uploads/2010/02/Hideaway016-300x225.jpg" alt="Building the Hideaway Hotel in Playa Samara; photo by Doug Ancel" width="300" height="225" /></a><p class="wp-caption-text">Building the Hideaway Hotel in Playa Samara; photo by Doug Ancel</p></div>
<p>They knew what they wanted-a clean, contemporary design, high-quality construction to North American/European standards, and about a dozen spacious rooms. They wanted a pool, landscaped grounds, and a modern wastewater system that would allow them to irrigate the grounds with gray water and to give North American guests the privilege of flushing toilet paper instead of putting it in a waste container next to the toilet, which is the Tico style.</p>
<p>They got a good lawyer (key to getting anything done in Costa Rica), who introduced them to an architect who had a good reputation. &#8220;But he didn&#8217;t deliver,&#8221; says Rosy, so they set up meetings with several architect/ builder pairs, chose their favorite, and got to work. &#8220;The design process took some time,&#8221; continues Rosy &#8220;We wanted to be sure to choose the finishes, tile, granite, etc. ourselves.&#8221;</p>
<p>The permit process was also challenging. &#8220;We were held up in <a href="http://www.setena.go.cr/">SETENA</a> for 6 months,&#8221; Rosy says. &#8220;Apparently SETENA [the Secretaria Tecnica Nacional Ambiental] was backed way up at the time.&#8221;</p>
<p>&#8220;We were &#8216;next in line,&#8217;&#8221; adds Doug, &#8220;for a good 5 or 6 months.&#8221;</p>
<p>The web site costaricalaw.com explains, &#8220;the sole mission of SETENA is the administration of the process to review and evaluate environmental impact considerations. Builders and real estate developers cringe when they hear the word SETENA.”</p>
<p>&#8220;But our building permit didn&#8217;t take much time,&#8221; says Rosy. &#8220;You just present plans to the municipality and pay the fees.&#8221;</p>
<div id="attachment_575" class="wp-caption alignright" style="width: 310px"><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/Hideway31.jpg"><img class="size-medium wp-image-575  " style="border: 2px solid black; margin: 7px;" title="Hideway3" src="http://missmoveabroad.com/wp-content/uploads/2010/02/Hideway31-300x225.jpg" alt="The pool before it was a pool, Hideaway Hotel in Playa Samara; photo by Doug Ancel" width="300" height="225" /></a><p class="wp-caption-text">The pool before it was a pool at the Hideaway Hotel in Playa Samara; photo by Doug Ancel</p></div>
<p>Once construction got underway, Doug stayed on site as much as possible to oversee the work. The builder went over budget, and there were construction delays. But when the Hideaway Hotel opened its doors in 2008, it all seemed worth it. &#8220;Local realtors couldn&#8217;t believe it,&#8221; says Doug. They said, &#8216;You guys actually opened! So many projects end up unfinished ruins.&#8217;&#8221;</p>
<p>Their hotel is indeed no ruin; it&#8217;s a lovely place with the sort of amenities you really appreciate after having been on the road for while, from the spacious shower to the mini-fridge to blackout curtains for the times you need to adjust to jet lag or turn in early to make a wee-hours flight the next day. A hundred feet from your poolside breakfasts are trees often full of howler monkeys.</p>
<p><strong>Advice on opening a B&amp;B in Costa Rica</strong></p>
<p>I asked Rosy and Doug if they have any advice for opening a B&amp;B or a hotel in Costa Rica.</p>
<p>&#8220;Find one that&#8217;s been built,&#8221; Rosy laughs ruefully, although she also says she feels proud of how well their from-the-ground-up building turned out.</p>
<p>&#8220;It takes time to grow a business,&#8221; says Doug. &#8220;So you need operating reserves to tide you over.  We planned not to make any money the first years,&#8221; he smiles, &#8220;And so far, we&#8217;re right on plan.&#8221;</p>
<p>But even in the months after I visited, their was an uptick in guests, and the hotel is getting great press in guidebooks and online-when I last looked they were the #2 Samara hotel on Trip Advisor. I have little doubt that the next few years will bring even more visitors and a return on their investment, both in financial and life-satisfaction terms. After all, they dreamed a dream and then, with hard work and imagination, they made it happen. It&#8217;s all part of the (somewhat flexible) master plan.</p>
<p><em>Photo of finished version of the Hideaway Hotel by David W. Smith</em></p>
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		<title>Private vs. public hospitals in Costa Rica: Real-life experiences</title>
		<link>http://missmoveabroad.com/private-vs-public-hospitals-in-costa-rica/</link>
		<comments>http://missmoveabroad.com/private-vs-public-hospitals-in-costa-rica/#comments</comments>
		<pubDate>Tue, 16 Feb 2010 05:14:13 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[life abroad]]></category>
		<category><![CDATA[medical tourism]]></category>
		<category><![CDATA[true expat tales]]></category>
		<category><![CDATA[cautionary tales]]></category>
		<category><![CDATA[Clinica Biblica]]></category>
		<category><![CDATA[Costa Rica]]></category>
		<category><![CDATA[expat stories]]></category>
		<category><![CDATA[health tips]]></category>
		<category><![CDATA[Hospital San Juan de Dios]]></category>
		<category><![CDATA[risk]]></category>

		<guid isPermaLink="false">http://missmoveabroad.com/?p=522</guid>
		<description><![CDATA[Costa Rica is known for high-quality medical care at affordable prices. But what's it like to be in the belly of the beast--to be a patient in the country's private and public hospitals? Here, four expats describe their experiences.]]></description>
			<content:encoded><![CDATA[<p>With the new immigration reforms that go into effect in Costa Rica on March 1, expats who are legal residents in Costa Rica must enroll in the national healthcare system called the Caja, which gives them low-cost access to neighborhood clinics, pharmacies, and public hospitals.</p>
<p>Some Costa Rica expats are satisfied with Caja (public) care; others opt to supplement or replace it with private care, paid out of pocket or through national or international health insurance.</p>
<p><strong>One whole-hearted and one half-hearted fan of the Caja (Costa Rica’s national healthcare)</strong></p>
<p>San Ramon-based expat Stephen Duplantier, 65, is a Caja fan. &#8220;We are <em>very</em> happy with it,&#8221; he said recently. &#8220;It&#8217;s US$18/month (a discounted rate through <a href="http://arcr.net/">Association of Residents of Costa Rica</a>&#8211;the ARCR). We go to local EBAIS (a neighborhood clinic), where there&#8217;s an excellent doctor and excellent nurses, plus all pharmaceuticals are free. Recent surgeries, diagnostic tests, ER use, pharmacy, etc.&#8211;all are totally free and high quality, and the waiting time is equal to our experience in the States.&#8221;</p>
<p>I agree that the Caja can be great for routine care, but when I found I needed surgery, I moved from the public to the private realm. I&#8217;d been part of the Caja system, paying around $60/month at the age of 41 and happily using their neighborhood clinics for routine care, tests, and medications. But when it became clear that I would need a major procedure, I defected to private care, opting to pay out of pocket (I&#8217;d let my U.S. insurance lapse). I was happy with the care at private <a href="http://www.clinicabiblica.com/">Clínica Bíblica</a>, though the final price for my stay, while quite low in comparison to U.S. prices, was still more than twice what I&#8217;d been quoted in a formal estimate.</p>
<p><strong>Two that had bad experiences at public Costa Rica hospitals</strong></p>
<p>Others are not so happy with the Caja.</p>
<div id="attachment_594" class="wp-caption alignright" style="width: 310px"><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/Matt_Hogan2.jpg"><img class="size-medium wp-image-594   " style="border: 2px solid black; margin: 7px;" title="Matt_Hogan2" src="http://missmoveabroad.com/wp-content/uploads/2010/02/Matt_Hogan2-300x276.jpg" alt="Matt Hogan had a bad experience at a public hospital after a motorcycle wreck in the Zona Sur of Costa Rica. Photo by David W. Smith" width="300" height="276" /></a><p class="wp-caption-text">After a motorcycle accident in Costa Rica, Matt Hogan sampled both public and private hospitals. Photo: David W. Smith</p></div>
<p>Take Matt Hogan, 35, co-founder of <a href="http://www.fincabellavista.net/">Finca Bella Vista</a>, a sustainable treehouse community near the Osa Peninsula. In late 2009 he had a motorcycle accident, and was taken to the newly opened public hospital in Ciudad Cortéz. &#8220;All the newspapers had been boasting about the brand-new, state-of-the-art facilities and medical equipment, 300 clean new beds, and the rest,&#8221; says Matt. What the newspaper accounts failed to mention, according to Matt, was that all those new beds were serviced by only a few doctors who showed up only once in a while.</p>
<p>Matt says he suffered serious neglect and misdiagnosis (they told him he was fine). Feeling anything but fine, he had himself driven by ambulance to San José and checked himself into private Clínica Bíblica. There he was found to have one collapsed lung and the other in mid-collapse, as well as severe internal bleeding in his chest cavity. The doctors at Bíblica said that if Matt had waited another day to seek proper care he most likely would have suffocated.</p>
<p>Matt was very happy with the care he received at Bíblica, adding with a smile that &#8220;all the nurses were very attractive young Ticas.&#8221;</p>
<div id="attachment_593" class="wp-caption alignleft" style="width: 310px"><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/AlexMurray.jpg"><img class="size-medium wp-image-593   " style="border: 2px solid black; margin: 7px;" title="AlexMurray" src="http://missmoveabroad.com/wp-content/uploads/2010/02/AlexMurray-300x225.jpg" alt="Alex Murray after being released from the hospital." width="300" height="225" /></a><p class="wp-caption-text">Alex Murray after being released from a 20-day hospital stay.</p></div>
<p>In another example, Alaska native Alex Murray, 72 at the time of a fire that burned over 20 percent of his body, endured an extended hospital stay that also allowed him to compare private and public care in Costa Rica.</p>
<p>&#8220;While expat friends with residency have had important procedures successfully performed at slight cost in the public system,&#8221; he says. &#8220;I recommend avoiding it in life-threatening situations if at all possible.&#8221;</p>
<p>Alex was burning garden trash at his home in the Lake Arenal region when he spilled some gas, causing the fire to flare up and burn him over much of his body.  Alex spent the next 20 days in two hospitals in the capital city of San José, first at the public Hospital San Juan de Dios, and then at private Clínica Bíblica.</p>
<p>&#8220;Of course,&#8221; he admits, &#8220;it&#8217;s a foregone conclusion that such a comparison is unfair to the underfunded public hospital, but the devil&#8217;s in the personal details.&#8221;</p>
<p>Alex was first picked up by a Red Cross ambulance and taken to a clinic in nearby Tilarán. Then he was moved to the public hospital in Liberia (about an hour north), where the doctors decided to send him to the burn unit at San Juan de Dios (a public hospital) in the capital city of San José, 4 hours away.</p>
<p>&#8220;Arriving in San José,&#8221; says Alex, &#8220;we should have directed the driver immediately to Bíblica or Clinica Católica [two private hospitals], but, ignorant of the quality of the public hospital and anxious to get treatment, we let the driver take us to the teeming mystery that is San Juan.&#8221;</p>
<p><strong> </strong></p>
<div id="attachment_595" class="wp-caption alignright" style="width: 250px"><strong><strong><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/SanJuanDiosCR.jpg"><img class="size-medium wp-image-595 " style="border: 2px solid black; margin: 7px;" title="SanJuanDiosCR" src="http://missmoveabroad.com/wp-content/uploads/2010/02/SanJuanDiosCR-300x225.jpg" alt="Hospital San Juan de Dios in Costa Rica" width="240" height="180" /></a></strong></strong><p class="wp-caption-text">Hospital San Juan de Dios in Costa Rica</p></div>
<p><strong>Three days at a Public Hospital: San Juan de Dios</strong></p>
<p>&#8220;In our three days there,&#8221; says Alex, &#8220;no doctor ever consulted us, though one led a group of students into my room each day. The nurses, male and female, sometimes seemed like the proverbial five or six workmen who stand around a pothole gabbing while one guy fills the hole. For the most part, they were not dedicated, not attentive, not very competent, and not sympathetic. They seemed the dregs of the nursing schools. A friendly nurse assigned to draw blood samples spent three days drilling mostly dry holes all over my landscape, partly due to my extremely low blood pressure. One rough middle-aged nurse told me that I was not much hurt nor in pain. I finally had to yell at her, &#8220;Don&#8217;t touch me. Don&#8217;t touch me.&#8221; She desisted, smiling to herself, it seemed.</p>
<p>&#8220;A night crew came on and half-heartedly started to bathe me and change my dressings. Three stood on one side of the bed and made little come-hither motions with their fingers. Two stood on the other side and made little shooing gestures. Finally, they decided to help me turn.</p>
<p>&#8220;They would not let my wife sleep in one of the three extra beds crowded into my room. Instead she spent her nights trying to sleep in a plastic chair. In the not-very-clean bathroom, she found bloody bandages in a corner.&#8221;</p>
<p><strong> </strong></p>
<div id="attachment_588" class="wp-caption alignleft" style="width: 310px"><strong><strong><a href="http://missmoveabroad.com/wp-content/uploads/2010/02/procedure.jpg"><img class="size-medium wp-image-588 " style="border: 2px solid black; margin: 7px;" title="procedure" src="http://missmoveabroad.com/wp-content/uploads/2010/02/procedure-300x201.jpg" alt="Clinica Biblica in Costa Rica" width="300" height="201" /></a></strong></strong><p class="wp-caption-text">Clínica Bíblica in Costa Rica</p></div>
<p><strong>Seventeen Days at a Private Hospital: Clínica Bíblica</strong></p>
<p>Alex and his wife decided that they needed to move him to a private facility. &#8220;When I was admitted to Clínica Bíblica,&#8221; he says, &#8220;I recognized immediately that here was a competent staff. The emergency room nurse quickly found a vein and soon had a set of color-coded vials filled with my blood. All staff were purposeful and attentive.</p>
<p>&#8220;The next evening I began to rave and tried to tear off my bandages and leave the hospital. A doctor soon arrived and said my actions were due to a lack of oxygen to the brain. I was then moved to intensive care where a coma was induced and I was intubated, remaining thus for five days, not a reassuring sight for my four daughters who arrived from points around the globe.</p>
<p>&#8220;I doubt that these measures would have been taken at San Juan de Dios. Three doctors tended me at Bíblica, one a burn doctor, one a plastic surgeon who moved skin from my thigh to my hip, and one a staff doctor. They each came by almost every day to talk with us. The nursing staff was a no-nonsense but friendly and attentive group, evidently the better graduates of the nursing schools. Midway through my stay, physical therapists began visiting daily to exercise my wasted muscles. When I left, I had lost 14 pounds and could walk only a few steps unassisted, but I was recovering.</p>
<p>&#8220;And throughout my stay, my wife was permitted to sleep on a narrow built-in bed or cot in each room. “</p>
<p><em>For more information on health care in Costa Rica, see <a href="http://www.amazon.com/Moon-Living-Abroad-Costa-Rica/dp/1598800078/ref=pd_bbs_sr_2/102-9756124-9228153?ie=UTF8&amp;s=books&amp;qid=1191524240&amp;sr=8-2">Living Abroad in Costa Rica</a> by Erin Van Rheenen, or visit <a href="http://www.livingabroadincostarica.com/">www.livingabroadincostarica.com</a>.</em></p>
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		<title>Costa Rica elects woman President</title>
		<link>http://missmoveabroad.com/costa-ricas-next-president-likely-to-be-woman/</link>
		<comments>http://missmoveabroad.com/costa-ricas-next-president-likely-to-be-woman/#comments</comments>
		<pubDate>Tue, 09 Feb 2010 23:37:27 +0000</pubDate>
		<dc:creator>missmoveabroad</dc:creator>
				<category><![CDATA[world culture]]></category>
		<category><![CDATA[abortion]]></category>
		<category><![CDATA[birth control]]></category>
		<category><![CDATA[Costa Rica]]></category>
		<category><![CDATA[gay rights]]></category>
		<category><![CDATA[women]]></category>

		<guid isPermaLink="false">http://missmoveabroad.com/?p=515</guid>
		<description><![CDATA[On Feb 7th  Costa Ricans went to the polls and overwhelmingly elected Laura Chinchilla president for the next 4 years.  Chinchilla, who is 50 an has one teenage son, takes office in May.]]></description>
			<content:encoded><![CDATA[<p>On Feb 7th Costa Ricans went to the polls and overwhelmingly elected Laura Chinchilla president for the next 4 years. Chinchilla, who was Vice President in the current administration of Oscar Arias, resigned that post so she could run for president.</p>
<p>She ran a campaign that declared her “firme y honesta” — firm and honest — and promised more doctors in the state-run medical clinics and more police officers on the streets. She is a social conservative who opposes gay marriage and abortions, though she favors civil rights for gays and birth control.</p>
<p>Chinchilla, 50, is married with one teenaged son. She will take office in May, becoming Costa Rica’s first female president and Latin America’s fifth in the last two decades. The other four are Argentina’s Cristina Kirchner, who was elected in 2007, Chile’s Michelle Bachelet, elected in 2006, Panama’s Mireya Moscoso, elected in 1999, and Nicaragua’s Violeta Chamorro, elected in 1990.</p>
<p>Interesting that Costa Rica, a supposedly &#8220;third world&#8221; and  &#8220;macho&#8221; country, elected a woman president, while a first world country where the sky’s supposedly the limit (the US of A) lags behind in the gender equity department. Speaking of third world, Chinchilla recently asked, &#8220;Who gets to decide if a country is deemed &#8220;developing&#8221; or &#8220;developed?&#8221; Interesting question. Chinchilla thinks Costa Rica qualifies as the latter.</p>
<p>Click <a href="http://www.livingabroadincostarica.com/blog/costa-rica-elections-photos/">here for election photos</a> and <a href="http://www.livingabroadincostarica.com/blog/most-bizarre-campaign-video-ever-luis-fishman/">here for a truly bizarre campaign video</a> from one of Chinchilla&#8217;s competitors in the Presidential race. A middle-aged man naked except for a diaper cavorts among pregnant women singing a takeoff on the 60s classic, “I will follow him.”</p>
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