Cost of Living
Official: Panama is affordable by international standards
Reality: Panama City is the most expensive city in Central America -- costs exceed most Latin American capitals. Air conditioning is a necessity (electricity bills of $100-250/month for a 1BR apartment). Imported food and consumer goods are expensive (US retail prices). Fresh local produce and restaurants in local areas are cheap. Healthcare at international-standard hospitals (Punta Pacifica) is excellent but costs have risen -- a GP consultation costs $80-150 (before Pensionado discounts). The affordable-Panama narrative applies more to rural Chiriqui (Boquete, David) than Panama City.

