The US ranked only 47th out of 64 countries as the best place to live in the world for the second consecutive year.
That’s according to the major benchmark Expat Insider 2019 report which surveyed 20,259 expats, representing 182 nationalities and living in 187 countries or territories.
An expat is defined as an employee sent abroad on a corporate assignment or classed as a new international hire. The survey ran from 7 to 28 March. Respondents were asked to score 48 different factors — which fall into 17 subcategories — related to living abroad. Those 17 subcategories are then put into five pillars —Quality of Life, Ease of Settling In, Working Abroad, Family Life, and Personal Finance.
For a place to be ranked, there needs to be a sample size of at least 75 survey participants per destination. The only exception to this rule is the Family Life Index, where a sample size of at least 40 respondents raising children abroad is necessary.
For the 2019, 64 destinations, respectively, met these requirements, although many countries or territories the sample size exceeded by 75 or even 100 participants.
While 57% of respondents rate the quality of medical care positively versus the global average of 65%, 71% think it isn’t affordable — 45 percentage points above 26% globally.