In Ecuador, you'll have access to excellent medical care. In the bigger cities, particularly Quito, Cuenca ,and Guayaquil, you'll find hospitals with state-of-the-art equipment, as well as specialists in all fields and physicians with private clinics. The average visit to a doctor's office runs just $20, with a specialist running about $25. An added bonus: Ecuadorian doctors spend 30 to 45 minutes with each patient.