OK guys. I have colleagues who have been to Sri Lanka a number of times. A colleague who worked in Sri Lanka for 3 or 4 years had a great time there.

As a expat you would have incredible life style as compated to the locals. The issue would be busy roads. However, like India, you make do with what you have. CGOAB has lots of stories of folks bicycle touring in nearby countries. In addition, medical treatment is certainly less expensive than in the USA. Many physicians are UK-trained and certified. With money, treatment is quite good. For example, in Calcutta a couple of years ago I busted a knee cap and an ankle - orthopedic surgeons operated successfully and I had no major issues with recovery. I would suggest the same would be true of Sri Lanka.

Oh, by the way, the former colleague who lived in Sri lanka was successfully treated for cancer there, and he had no issues with treatment, etc..