I agree with you in your health care concerns. But if the entire health care system does in fact get completely reworked by the government, it will be dumbed-down to it's lowest common denominator. To insure everyone gets free health care, I understand that everyone will get much lower-quality care. Simple fact.

In which case, Panama has stellar doctors and hospitals. You might want to do some Internet research on Panama. Their doctors are mostly USA-educated and trained, and as the systems evolve, will no doubt have much better quality than here in the States.

Just my observation.