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Ecuador's public healthcare system is struggling with corruption investigations, specialist wait times stretching months, and chronic medication shortages. Many expats are supplementing with private insurance or paying out-of-pocket. Here's the current state of play.
Ecuador’s TB crisis went from bad to alarming in 2025. Deaths jumped 127%, confirmed cases rose 67% to 9,142, and health experts warn this is no longer just a prison problem — community transmission is driving the surge.
Ecuador has jumped to third place in the WHO's Latin America Healthcare Index, trailing only Costa Rica and Chile -- a strong validation for expats who cite affordable medical care as a top reason for relocating.
