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According to the 2025 IQAir World Air Quality Report, Panama is the only Central American country meeting the World Health Organization's air quality standard of PM2.5 ≤5 µg/m³ — one of just 13 countries out of 143 measured (9%), while Costa Rica did not qualify in either 2024 or 2025. That makes Panama uniquely attractive for health-conscious expats and retirees, who can pair WHO-compliant air with Johns Hopkins-affiliated healthcare, a U.S. dollar economy, property from about $150,000, and a comfortable lifestyle for $2,500–$3,500 per month.