Cuenca would be an ideal place to live as an expat. The city has a slightly European feel with a strong cultural heritage and great bakeries, restaurants and shops along every street. It has an amazing combination of sun and cool temperatures. Pristine nature is only a short drive away (and there is trout fishing in the mountains). The city is big enough to offer most everything one could need and cheap flights are available to Quito and beyond. Healthcare is cheap and accessible and I like the way that local residents are willing to help out when asked, but no one seems to be intrusive. I never felt unsafe. The immigration process appears simple. There are a few negatives including the incessant beeping of car horns and car alarms. Vehicle exhaust is a problem during rush hour, but the city is addressing this issue by investing in its infrastructure to create an overhead rail system. And the tap water is good to drink. Apparently there are about 5,000 expats living in this affordable city now - I have no doubt that the number will be growing.