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LIFE IN SPAIN

Spain ranked second best country for foreigners to live in 2023

Spain has emerged as the second favourite country for foreigners to live in, beating 51 other countries in the latest Internations Expat Insider survey. 

spain best country for foreigners
A square in Hondarribia in the Basque Country. Spain is the second favourite country for foreigners to move to according to a new survey by Internations. Photo: Guerrero de la Luz/Pexels

Spain has long been a country that foreigners want to move to, with good weather, culture, food and quality of life being some of the main draws.

Its reputation as one of the world’s favourite destinations to live in has now been further consolidated after it came in second place in the latest Internations Expat Insider 2023 survey. 

The only country that came out ahead of Spain was Mexico. The others in the top five were Panama, Malaysia and Taiwan. The only other European country that made the top 10 places was Portugal in 10th place.

The worst five destinations for foreigners according to Internations respondents were Kuwait, Norway, Turkey, South Korea, and Germany.

With more than 12,000 respondents, it’s one of the most extensive surveys on living and working abroad and offers insights into life in 53 destinations worldwide.

Respondents’ provided detailed information on satisfaction with their respective countries in categories including – quality of life, ease of settling in, working abroad, personal finance, administration and language.

Spain in first place for quality of life 

Spain took the top spot 1st when it came to quality of life, with foreign residents particularly happy with their health and well-being (4th place) and leisure options (1st place).

Spain offers plenty of world-class beaches, historic cities, opportunities for sports and a wide variety of natural areas for an outdoor lifestyle.

Residents in Spain are satisfied with their social lives, coming in 10th place, finding it fairly easy to fit in with the local culture (2nd place).

Since the first Expat Insider survey in 2014, Spain has always ranked in the top 10 for quality of life and consistently featured among the best worldwide for its leisure options.

In fact, 88 percent of foreigners living in Spain are content with the culture and nightlife in España, compared to 68 percent globally.

Nine out of ten respondents said they’re pleased with the opportunities for recreational sports compared to 75 percent globally.

Thankfully, Spain’s great climate and sunny weather, the third best according to the survey, makes it easy for foreigners to enjoy these activities on a regular basis.

Spanish healthcare is highly valued

The quality of healthcare in Spain also ranked highly among foreign residents. They are satisfied with both the availability (84 percent happy vs. 71 percent globally) and the affordability (82 percent happy vs. 62 percent globally) of healthcare.

Spain’s quality of medical care came in 10th place globally. Quality public healthcare is free for those paying into the social security system and private healthcare insurance costs far less than in other countries such as the US.

READ ALSO: How does Spain’s healthcare system compare with the US?

Spain ranked highly for culture and social life. Photo: JORGE GUERRERO / AFP

Culture, social life and feeling at home

Overall, Spain came in 6th place in the culture and welcome category, with four in five people surveyed saying they feel at home here, 18 percentage points more than the global average (62 percent).

They also consider it easy to get used to the local culture (78 percent are happy vs. 62 percent globally).

When it comes to social life and making friends, almost seven in ten say they have found a personal support network in Spain (vs. 58 percent globally), and 72 percent are satisfied with their social life there (vs. 56 percent globally).

Poor career opportunities 

Although Spain came out ahead overall, there were several categories where Spain didn’t perform well at all. Unsurprisingly, most of these had to do with working life. Spain performed worst in the working abroad category, coming in 34th place.

Less than half of respondents said that moving to Spain has improved their career prospects (vs. 59 percent globally), and 36 percent are unhappy with the local job market (vs. 26 percent globally). Job security came in 43rd place and the state of the local economy also ranked poorly, in 39th place overall.  

Foreigners in Spain often agree that you don’t move to Spain for career growth. Jobs are not easy to get, and moving up the career ladder is hard. In fact, it’s consistently ranked as one of the worst places to start a business and salaries and low compared to many other Western European countries.

Stats relating to the average foreigner who moves to Spain. Source: Internations

Spain’s frustrating bureaucracy

Spain also ranks below the worldwide average in the admin category, in 33rd place. Nearly half the respondents (47 percent) have difficulties dealing with the notoriously difficult bureaucracy, which takes up a lot of time and causes plenty of frustrations and delays. 

READ ALSO: How to get a ‘cita previa’ (appointment) in Spain when it seems impossible

On the positive side, the country ranks 10th in the work and leisure subcategory. This is mainly due to the fact that many are satisfied with their work-life balance (73 percent happy vs. 63 percent globally).

Cost of living and language

Despite the poor work opportunities, finances don’t appear to cause issues many for foreigners in Spain – more than two in three are happy with the general cost of living, compared to only 44 percent globally.

When it comes to the language 36 said they find it challenging to live in Spain without local language skills (vs. 32 percent globally), but luckily 62 percent say the local language(s) are easy to learn.

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HEALTH

EXPLAINED: Spain’s plan to stop the privatisation of public healthcare

Spain’s Health Ministry has announced a new plan aimed at protecting the country's much-loved public healthcare system from its increasing privatisation.

EXPLAINED: Spain's plan to stop the privatisation of public healthcare

In 1997, at the time when former Popular Party leader José María Aznar was Prime Minister of Spain, a law was introduced allowing public health – la sanidad pública in Spanish – to be managed privately.

According to the Health Ministry, this opened the door to a model that has caused “undesirable” consequences in the healthcare system for the past 25 years.

Critics of the privatisation of Spain’s public healthcare argue that it leads to worse quality care for patients, more avoidable deaths, diminished rights for health staff and an overall attitude of putting profits before people, negative consequences that have occurred in the UK since the increased privatisation of the NHS, a 2022 study found

Companies such as Grupo Quirón, Hospiten, HM Hospitales, Ribera Salud and Vithas Sanidad have made millions if not billions by winning government tenders that outsourced healthcare to them.

On May 13th 2024, Spanish Health Minister Mónica García took the first steps to try and rectify this by approving a new law on public management and integrity of the National Health System, which was published for public consultation.

The document sets out the ministry’s intentions to limit “the management of public health services by private for-profit entities” and facilitate “the reversal” of the privatisations that are underway.

It also aims to improve the “transparency, auditing and accountability” in the system that already exists.

The Ministry believes that this model “has not led to an improvement in the health of the population, but rather to the obscene profits of some companies”. 

For this reason, the left-wing Sumar politician wants to “shelve the 1997 law” and “put a stop to the incessant profit” private companies are making from the public health system. 

The Federation of Associations in Defence of Public Health welcomed the news, although they remained sceptical about the way in which the measures would be carried out and how successful they would be.

According to its president, Marciano Sánchez-Bayle, they had already been disappointed with the health law from the previous Ministry under Carolina Darias.

President of the Health Economics Association Anna García-Altés explained: “It is complex to make certain changes to a law. The situation differs quite a bit depending on the region.” She warned, however, that the law change could get quite “messy”.

The Institute for the Development and Integration of Health (IDIS), which brings together private sector companies, had several reservations about the new plan arguing that it would cause “problems for accessibility and care for users of the National Health System who already endure obscene waiting times”.

READ MORE: Waiting lists in Spanish healthcare system hit record levels

“Limiting public-private collaboration in healthcare for ideological reasons, would only generate an increase in health problems for patients,” they concluded.

The way the current model works is that the government pays private healthcare for the referral of surgeries, tests and consultations with specialists. Of the 438 private hospitals operating in Spain, there are more who negotiate with the public system than those that do not (172 compared with 162).

On average, one out of every ten euros of public health spending goes to the private sector, according to the latest data available for 2022. This amount has grown by 17 percent since 2018.

However, the situation is different in different regions across Spain. In Catalonia for example, this figure now exceeds 22 percent, while in Madrid, it’s just 12 percent, according to the Private Health Sector Observatory 2024 published by IDIS.

Between 2021 and 2022, Madrid was the region that increased spending on private healthcare the most (0.7 percent), coinciding with the governance of right-wing leader Isabel Díaz Ayuso, followed by Andalusia (0.6 percent).  

READ MORE: Mass protest demands better healthcare in Madrid

Two years ago, Andalusia signed a new agreement with a chain of private clinics that would help out the public system over the next five years.

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