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Ecuador's 2026 budget includes no allocation for IESS medical care, leaving the social security system with an estimated $1 billion shortfall. Medication shortages and emergency room waits of 4-8 hours are already widespread.
Ecuador's economy is projected to grow approximately 2% in 2026 with inflation holding near 1.5%. Country risk stands at 460 basis points. Here is what the numbers mean for expats living on dollar-denominated income in a dollarized economy.
Ecuador's visa system has seen several updates for 2026, including the rollout of an electronic visa application system, a new SBU of $482 that affects financial requirements, and mandatory health insurance for all residency applicants.
Ecuador offers expats affordable healthcare through both the public IESS system (~$85/month) and private providers. GP visits run $25-40, specialist visits $40-80, and an MRI costs $200-400. Here is a complete guide to navigating healthcare as a foreign resident.
The Ministry of Public Health invested in 92 laparoscopic towers for hospitals across the country, bringing minimally invasive surgery to previously underserved areas including the border town of Macará near Vilcabamba.
The U.S. dollar has lost ground against major currencies, creating a mixed bag for Ecuador's dollarized economy: exports become more competitive and tourism gets a boost, but import costs rise — and you'll feel it at the supermarket.
EP Petroecuador reported field production of approximately 370,000 barrels per day in January 2026, with the Sacha and Auca blocks leading output. While below peak levels, the steady numbers support government revenue forecasts and reduce the risk of mid-year austerity cuts.
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.
