<<Those folks in this forum who have, as family members, individuals with intellectual and developmental disabilities severe enough to require lifetime support and/or care have a huge other factor in when, where or whether or not they can retire. A complicating factor is that Medicaid Home and Community Based Services do not transfer from state-to-state, so, if I was to want to retire in Florida (and have my child near me), for example, I would face a waiting list of 21,000 folks of about 15-20 years (I would be 92) for services.>>

Ah, the joys of the US health care system! And some have the gall to criticize the UK NHS. I had a Down syndrome brother living England, who passed away 6 years ago. My parents and then one of my brothers, who took care of him after the passing of our parents, were assisted by the NHS from cradle to grave and at no cost other than SS payments, which everyone pays.

However, those here who think they can simply take up residence in another country might want to think again. Residency is not a given in most countries for those, e.g. outside the EU and they would certainly not be entitled to free healthcare. Medicare does not work overseas, although your supplemental insurance might cover some costs. Furthermore, Uncle Sam requires you to file a tax return every year, even if you live overseas. And.. if you decide to relinquish US citizenship, they require tax returns for the following 10 years. How they would enforce that is another question.