Colombia

Colombia has emerged as one of the most popular destinations for American expats in Latin America, offering a remarkably low cost of living at roughly 57% below the United States (Numbeo, Feb 2026). Major cities like Medellín, Bogotá, and Cartagena each provide distinct lifestyles—Medellín's spring-like climate and growing tech scene, Bogotá's cultural richness and economic opportunity, and Cartagena's Caribbean charm. Approximately 60,000 Americans currently reside in Colombia, creating well-established expat communities with English-speaking services, coworking spaces, and social groups. Healthcare is a major draw, with the WHO ranking Colombia's health system 22nd globally—ahead of the United States at 38th. Private health insurance (medicina prepagada) costs $50–$150/month and provides access to modern hospitals and short wait times in major cities. The Numbeo Health Care Index rates Colombia at 68.86 out of 100. However, healthcare quality drops significantly in rural areas. Safety remains a genuine consideration. The US State Department rates Colombia at Level 3 ('Reconsider Travel') as of April 2025, and the 2025 Global Peace Index ranks it 140th of 163 countries. That said, major expat-friendly cities like Medellín's El Poblado, Bogotá's Zona Rosa, and Cartagena's walled city are generally considered safe with standard urban precautions. Border regions and certain rural departments carry significantly higher risk and should be avoided.