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I did the move from the US to Panama five years ago and do not regret it for one second. Yes, I still pay US taxes, but I get a $94,000 exemption and do not pay taxes in Panama.
Infrastructure is good and I live in a very rural area. Learning Spanish has been an effort but worth the time. Anything I need is available here and anything I want and more available in Panama City. The economy is US dollar based.
Immigration is a pain but lots of people here just use tourist visas, they are good for 180 days. If anyone actually wants to know more contact me lee at dreamnet.com
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