5. Cuenca – Ecuador
IM Score: 36
Rent Cost: $290
Hospital to Population Ratio: 16,000
Flight to U.S. Cost: $855
Country Global Retirement Index: 3
Get used to seeing plenty of Ecuadorian cities on our list of best places to retire in South America. Cuenca offers a feel of Spain in the heart of the country thanks to its Spanish colonial architecture. The city is one of the fastest growing in Ecuador, with improved infrastructure and rising number of touristic attractions. Growing expat community, plenty of festivals and other cultural events s that happen throughout the year alongside acclaimed cuisine are just some of the things Cuenca will amaze you with.