2. Cotacachi – Ecuador
IM Score: 39
Rent Cost: $290
Hospital to Population Ratio: 4,000
Flight to U.S. Cost: $850
Country Global Retirement Index: 3
The final entry from Ecuador on the list of best places to retire in South America, Cotacachi is a small city that will offer you a peaceful, enjoyable retirement. You won’t have to worry about anything expect to seize the day and soak up all the beauties that surround you. Cotacachi has a large expat community (over 100) that is steadily growing, so you can be sure you’ll have someone to hang out with.