While I have been coming to Baja most of my life, I’ve lived here for the past 12 years or so. There are many local organizations to get involved in, and I did; too involved. So now I have backed off a bit. People come and go, and I’ve lost a few good friends and hang-outs.
Medical: I do have a local doc and he is pretty straight forward. Most of your visit is sitting at his desk talking while he takes notes. He has a small exam room if needed. If lab work is necessary they email you and the doc the results by the end of the day. If he wants to prescribe/do anything more, he’ll call. Otherwise, that’s it. There is a clinic/hospital that caters to foreign residents and my friends say it’s excellent and a fraction of the cost of going across the border. And the Red Cross/Cruz Roja provides great ambulance, emergency care.
I also have VA care, so I generally cross the border to see them for continuity of care, or should I ever need major care. There are excellent, state of the art hospitals in Tijuana.
Housing is a huge cost-savings. You can live as ‘local’ as you want and that will be cheaper… or as gringo as you like, shop in the US, which of course costs more. I’m kind of a mix of both. You learn where you want to save and when you want ‘home comfort.’