Panama vs Costa Rica: Which is Better for Expats in 2026?

Cost of Living
Both countries offer a lower cost of living compared to North America and Europe, but Panama generally provides better value for money, especially in housing and imported goods. Panama's use of the US dollar also eliminates currency exchange risks for expats from the United States.
Residency Programs
Panama's residency programs are widely considered more accessible. The Friendly Nations Visa, available to citizens of countries like Spain, Germany, and the UK, offers a fast track to permanent residency. Costa Rica's programs often require higher minimum incomes or investments.
Healthcare
Both countries boast excellent healthcare systems. Panama City features world-class hospitals affiliated with US institutions, such as Punta Pacifica Hospital (affiliated with Johns Hopkins). Costa Rica offers a strong public healthcare system (Caja) which expats must join.
Infrastructure
Panama's infrastructure is notably more developed, largely due to the revenue from the Panama Canal. The roads, public transportation (including a modern metro system in the capital), and internet connectivity are superior to most of Central America.