I do know I would like a plan for my future care. I would like it to be good and result in peace and luxury in my twilight years. Over my 21 years of residing with quadriplegia, I’ve independently cared for my private wants with minor assist from my husband. I do know this won’t final perpetually. We’re each getting old, and I proceed to lose imaginative and prescient on account of an inherited retina illness. I’ll want extra assist sooner or later. And I should pay for it myself.
In serious about my choices, one tantalizing thought from the July 2021 problem of New Mobility stood out. The article, “Expats: Constructing an Accessible Life Overseas,” featured three wheelchair customers who had left the U.S. and Canada to stay overseas in Japan, Cambodia and Panama. They shared home windows into their lives and the way they dealt with their care wants and prices. I used to be riveted. I lived in South America method again when. Why not go overseas once more?
Of the international locations talked about within the article, I centered on Panama. I like heat tropical breezes, sandy seashores, palm bushes and vibrant parrots. I just like the pleasant, family-oriented Latin tradition. My Spanish is respectable. And Panama is nearer than Cambodia and Japan. I puzzled, ought to my future house be in Panama?
My Analysis
I kicked into analysis mode, in search of the solutions anybody contemplating shifting overseas would need — and people most essential to a wheelchair consumer. I used to be pleased to seek out out Panama has extra sidewalks and ramps than most Central American nations. It is without doubt one of the wealthiest Central American international locations due to the well-known canal. It has among the finest water therapy in Latin America on account of important infrastructure put in place by the U.S. navy throughout its 95 years of Canal Zone management. Consequently, it’s completely protected to drink the faucet water there. The electrical energy in houses is identical voltage and amperage as within the U.S., and Panama makes use of the U.S. greenback for foreign money. These are all very useful attributes. What’s extra, medical services are good. There’s a Johns Hopkins Hospital affiliate within the capital, Panama Metropolis. And the Panamanian authorities makes it fairly easy for U.S. residents to change into authorized residents and personal land. All of this makes Panama a pretty possibility for an getting old quad, however I wanted to know extra.
My Go to
My husband and I flew into Panama Metropolis’s Tocumen Worldwide Airport, planning to take a taxi to some chosen cities after trying out the capital. I whittled down which cities to go to primarily based by myself wants and standards. I wasn’t in search of fancy, simply accessible. Like a lot of the U.S., the newer neighborhoods are typically extra accessible but in addition extra pricey. As a wheelchair consumer, naturally I centered on areas with sidewalks that I might independently navigate. I can’t drive a automotive due to my imaginative and prescient, so sidewalks and the supply of taxis are essential. I finally determined to discover just a few neighborhoods throughout the capital, together with Costa del Este and Casco Viejo, then go to the expat city of Playa Coronado, the mountain city of El Valle de Anton, and Penonome, the house of Tony Boatright, the expat from the July 2021 NM article.
Panama Metropolis
Trendy and spectacular, Panama Metropolis boasts quite a few high-rises that merge to provide a exceptional skyline. Expansive, world-class malls, like Albrook and Multiplaza Panama, and scores of high quality eating places and outlets make this a really handy, comfy metropolis.
Large cities wherever are pricier than their close by small cities. That is true of Panama, however meals and taxis in Panama Metropolis nonetheless price lower than within the U.S. I obtained a breakfast sandwich, fruit and cafe con leche at a pleasant sidewalk cafe for $6; a rooster Caesar salad or a sandwich with aspect price $8-$10 every. Groceries I purchased have been 20%–30% lower than at house. I cherished the superb mountain-grown Panamanian espresso for $5–$8 per pound. On Amazon, the identical factor is $24.
Since buses will not be wheelchair accessible in Panama, I relied on taxis. Taxi service was $4–$7 per journey across the metropolis. And the 48-mile journey from the capital to Playa Coronado was $75 — a lot lower than an Uber at house.
Absurdly, in my 21 years of wheelchair use, I by no means realized how important sidewalks are to my independence. The place I stay, they’re merely there. In Panama, though there are legal guidelines encouraging building of sidewalks, it turned a treasure hunt. I efficiently discovered pockets of accessibility in Panama Metropolis based on existence and high quality of sidewalks. Most public malls, grocery shops and museums are accessible from the parking zone. Some nice vacationer websites, like Miraflores Locks and Canal Customer Heart, Panama Viejo, and the Amador Causeway are wheelchair-friendly. To stay right here, although, I would wish housing with at the very least just a few blocks of adjoining, usable sidewalks.
My go to to Costa del Este revealed a really wheelchair-accessible neighborhood. I wheeled alongside huge, well-maintained sidewalks within the 90-degree warmth, amongst magnificent palms. By no means removed from the ocean, I heard seagulls calling on the mild breeze. Most buildings are high-rise flats, which implies elevators. I efficiently discovered residence buildings with a number of elevators and backup mills in case of energy outages, making the high-rise situation believable.
Nearer to the middle of town, Avenida Balboa additionally has potential for accessible residing, with a scenic sidewalk working constantly alongside the avenue, all the best way right down to the fish market by the ocean. Sadly, the neighborhoods have been costly.
Discovering a small residence inexpensive for a guide chair consumer could be doable, however I used to be in search of a spot with sufficient area for my energy chair, eventual live-in assist and guests. I used encuentra24.com to match rental prices for furnished three-bedroom lodging throughout Panama. With fascinating areas, low crime and newer buildings, listings in Costa del Este and Avenida Balboa began round $3,000 per thirty days. I discovered quite a lot of areas with comparable leases working round $600 per thirty days, however in less-desirable neighborhoods with much less, if any, entry.
I used to be disenchanted after I took a taxi to see the historic neighborhood of Casco Viejo. The structure is gorgeous. San Jose Church, which homes the historic gold altar that privateer Capt. Henry Morgan tried to steal, is magnificent. However the sidewalks are too slender to accommodate a wheelchair.
Outdoors the Capital
The drive to Playa Coronado, 54 miles southwest of Panama Metropolis, gave me a possibility to observe Spanish with Oscar, my driver. Oscar dropped me off at Resort Coronado Inn. The lodge has an accessible foyer, a room with rest room seize bars, and an superior open cafe, however the city of Coronado just isn’t for wheelchair customers. There are not any sidewalks wherever and the streets are in poor situation. I seen every part from the window of a cab. The attractive seashores are inaccessible, until one has a seaside wheelchair. I might get one if I lived right here. Wheelchair customers are at the very least on the radar, although, as each the native grocery and procuring heart have ramps. I spent one evening in Playa Coronado, feasting on wonderful panfried crimson snapper fillet with veggies and rice for less than $6, then took off to see Boatright in Penonome.
I met Boatright on the native hospital. It was a handy rendezvous spot and offered a possibility to take a look at the small, clear medical facility. By way of measurement and high quality, it jogged my memory of a neighborhood hospital within the U.S. If I lived in Panama, I might go for the Johns Hopkins affiliate in Panama Metropolis for main surgical procedure.
We stayed with Boatright for 2 nights in his secluded, rambling house. I knew that Penonome wouldn’t work for me due to the absence of sidewalks and my incapability to drive. So, as a substitute of exploring the city, we relaxed and chatted on his improbable deck overlooking Rio Zarati — why go away such an incredible place with an superior view? Boatright will get round by driving to locations with entry ramps. He’s elated along with his relaxed, tropical life, his open-air-style house and his heat, adopted Panamanian household.
We wrapped up our journey visiting the attractive mountain city of El Valle de Anton. Larger in elevation, nestled in a valley surrounded by verdant mountains, this small city is cooler, usually within the 70s. sidewalk/paved bike path runs the size of the city. Many however not the entire shops and eating places are wheelchair accessible. I cherished this place, even after I obtained caught in a tropical downpour and was soaked to the bone in seconds by heat rain. I escaped into an inviting cafe for a sizzling cup of wonderful mountain-grown espresso. El Valle could be an incredible alternative for me, besides that there are basically no long-term leases listed — solely Vrbo, Airbnb, and houses on the market at $375,000 and up.
In a Nutshell
Of the Panamanian cities and neighborhoods I visited, I actually like Costa del Este and Avenida Balboa in Panama Metropolis, and El Valle de Anton. The capital could be best for locating helpers since that’s the place most individuals stay. A quick seek for home helpers confirmed staff accessible for $35 per day. It’s common to have live-in assist in Panama — it’s a part of the tradition. Ease find inexpensive assist is a large plus in my e book. Transportation, medical care, and entry to items and providers are best in Panama Metropolis. However the quiet mountain city of El Valle de Anton calls to me. So, it stays on my record.
To date, Panama has potential and meets a part of my wants — I might simply have to seek out the precise neighborhood. Wherever I stay, I need a house the place I can roll out my door to a helpful or fascinating place. My subsequent step is investigating extra neighborhoods in Panama Metropolis, particularly former U.S. navy bases which have reverted to Panamanian management.
Whether or not I find yourself shifting overseas or staying within the States, going by this course of has helped me higher perceive what I’m in search of and learn how to discover it.