My dentist in Mexico studied in the U.S., does great work, and is seldom in a hurry. He gets all the local gringo business and probably charges more as a result, yet what our family of three paid over the course of a year there was about 1/4 what it would have cost in a mid-sized U.S. city.

Afar magazine ran an infographic earlier this year in the print edition that showed approximate costs for different procedures in the USA vs. what it would cost you elsewhere. Almost anywhere in the world is cheaper than here for health care, of course, for a long list of reasons: high insurance/litigation, high doctor payments, a for-profit system, insurance company lobbyist power, and an upside-down system where it’s easier to get reimbursed for a problem than prevention.

Here are a few examples from their list though:

Fertility treatment: $15,000 USA, $4,400 Costa Rica

Hip replacement: $33,000 USA $12,500 in Mexico

Knee replacement: $34,000 USA, $16,500 Singapore (half again in Mexico, from what I’ve heard locally)

Coronary bypass: $88,000 USA, $21,000 Taiwan

Gastric bypass: $25,000 USA, $8,200 Malaysia

Spinal fusion: $41,000 USA, $9,500 India

Here’s a link to a great medical costs chart in the Washington Post showing what standard procedures like CT scans, MRIs, and C-section deliveries cost. A few zingers from that:

Having a baby the normal way: $9,280 here, $1,291 Argentina

C-section delivery: $14,374 here, $3,145 Spain

Hospital overnight stay: $3,949 here, $632 Germany

The only procedure on the chart where the U.S. was not the most expensive was for cataract surgery. Apparently Switzerland is more pricey for that.

Now back to dental work, which has a huge disparity and it’s something you spend money on regularly even if you’re in good health. A crown that will set you back $750 – $900 in the United States will cost 1/3 that in Hungary or Costa Rica—and get done faster. If you have seen the prices on Groupon for a dental check-up and cleaning at half price, half it again and that’s probably what you will pay in Mexico.

For even minor procedures, if you have a co-pay and a big deductible (or you’ve got nothing), getting it done overseas can save you serious money, even when you factor in travel costs.

One specific one to keep in mind if you’re departing on a long round-the-world trip: vaccinations. Some require a series of shots over time. A couple times when circling the globe I got the second or third one in Bangkok instead of locally. Sure, it was a bit of a hassle, but it cut the cost in half.

What have you had done abroad that has saved you a bundle?

Can you round up $68,500 in ready or borrowed cash? If so you can be the owner of a furnished beach house in Mexico and can cut your monthly living expenses in half. Or just have a cheap place to be a snowbird or go on vacation.

About a year and a half ago I announced on this blog that my Yucatan beach house in Mexico was for sale. Well, it still is.

We took it off the market a while during the rainy season and while it’s being rented a lot right now in high season, it’s still waiting for a buyer.

We own this place free and clear, so it’s not like there’s a mortgage gnawing at us, but we bought another house in Guanajuato, in the central highlands. We’re moving into that one come August for two years. We’d like to have the cash from house 1 to get debt free and flush so we’ve got plenty to put into beautifying house 2.

As you may have heard on the news, the housing market in the U.S. is in recovery mode now, to the point where there are bidding wars again in some cities because of a lack of inventory. While some savvy investors no doubt bought houses for $68,500 or even less the past few years because of bank foreclosures, they weren’t getting property one house back from a beach and those homes weren’t usually nice enough to be move-in ready. This one is both.

You can follow the link at the bottom for more details, but this is a well-maintained 2BR, 1 bath house with a nice covered outside terrace and plenty of room to build up or put in a pool. It’s a 30-second walk to the water and three blocks to the town square. There are already local caretakers in place we’ve worked with for years. It comes with beds that sleep four and all the other furniture there now, plus a fridge, dishes, and a bottle of 100% agave tequila we’ll supply upon closing.

This beach house is 40 minutes from the international airport in Merida, a city of a million, or less than four hours by rental car from Cancun.

If you’re wondering about home prices in Mexico in other non-tourist places, we paid a shade less than $90,000 for the Guanajuato house. It has four bedrooms, two baths, with a big sun room on the top floor that has terrific views. But right now it’s got a kitchen that we hate and no furniture…

So buy this bargain Yucatan beach house for $68,500 bringing just a toothbrush and a bathing suit. Then come stay with us later in the revamped city one. Full details here: cheap furnished Mexican beach house.

I’ve been running this Cheapest Destinations blog since 2003 and the 4th edition of my international travel book will come out soon, so I’ve heard more than my share of excuses on why people can’t or don’t travel.

In all fairness, some of the reasons are really legit. “I’m a convicted felon” is one that may give you some visa trouble. “I can’t leave the country until the custody case is settled” is reasonable. “I don’t really enjoy packing up and leaving home” was a response from a friend that I really didn’t have an answer to. Fair enough. We can’t assume everyone likes to travel.  And some people really can’t. There are not many travel agencies in Cuba or North Korea.

If you live in a free country and want to travel but don’t, however, the excuses you give are probably the same ones I’ve heard 100 times. Apparently these 71 other travel bloggers have heard the same ones too as their sample excuses and responses are amazingly consistent.

The b.s. travel excuses

1) I can’t afford it.

2) I don’t have the time.

3) I’m (scared about) not good at foreign languages

4) My family wouldn’t approve (I’m scared to leave my family).

Why these travel excuses are usually b.s.

1) Unless you’re in such poverty that you can barely afford groceries, you can afford to travel. Because if you choose the right places, it’s cheaper than being home. Try shopping less, buying fewer gadgets, brewing your own coffee—in other words, prioritizing. Do some basic research and you’ll find ways to couchsurf, get free flights, work abroad, and in general get by for far less than you’re getting by now. If you have a job you can do from anywhere, you’re just plain nuts to live out all your years in an expensive country anyway.

This view is $10 per night in the right destination

2) If you’ve been in your job a year at least and don’t have a couple weeks to travel, something is seriously wrong. If you’re self-employed, even worse. That’s called not taking the time; it’s not a lack of time. Nobody is so important in their position that they can’t take a couple weeks to travel unless they have “president” or “prime minister” next to their name. If you’re worried nobody will miss you if you leave and you’ll be easily replaced with another warm body, then you’re not making much of an impact when you’re there are you?

3) Based on my 20-odd years of travel, you can get by with English alone in about 90% of the places you’ll go on this planet as a tourist, with Spanish taking care of another 5 or 6%. So unless you’re going to visit rural China or some undiscovered tribal region, I think you’ll survive. If you’ll be somewhere more than a couple weeks, you can pick up some basics with minimal effort and a phrase book. Heck, these days you can even take a real-time translator on a smart phone, Star Trek style.

4) I’ve heard so many iterations of this sequence now it’s become a short story I could write in my sleep. Daughter (it’s usually a woman) announces to her family that’s she’s going backpacking for a month, for the summer, maybe even for a year. A family member (usually the mother) responds that it’s a horrible idea, that she’ll be raped or killed, that she’s abandoning the family. She forges on and goes anyway, sending them photos along the way about her fantastic time and telling them all the things she’s seen and learned. She returns home looking fit and radiant, she’s worldly-wise, and she’s exhibiting a new self-reliant streak that’s going to help her create success on her own terms in the future. Her parents can’t stop telling their friends about her wonderful adventure and they share her photos with everyone they know.

Of all the 71 responses on that long blog post, which admittedly get a bit redundant, I like this one from Benny at Fluentin3Months the best:

Usually people will latch on to what seems like a totally logical reason to not travel, such as lack of money, no time, unable to get off work, family responsibilities and so on. At times these are legitimate, but many times the true reason they are not following this passion is fear, and the reason they give you when you ask is founded in nothing but this fear.

They can repeat the mantra of “I have no money” all they like, ignoring stark evidence about how they should embrace minimalism and stop buying so much crap, or perhaps they think that learning a language is a rare genetic gift even though over half the population of the planet is multilingual. It’s time they stepped outside of their self-fulfilling prophecies.

Like most things in life, finding the time or money to travel is just like finding the time or money to do anything else worthwhile: buy a house, reach a sales goal, raise a child, get good at a sport, get in shape, learn a language, write a book, finish a painting, dance the tango, or build a fence. Make it a priority and it’ll probably happen. Put it no higher on your list than the latest slightly better gadget Apple is feeding you, then it probably won’t.

Do you want to travel this year or are you just saying it would be nice? Like winning the lottery would be nice?

If you’re not just fantasizing, stop dreaming and start finding ways to make it work. See all the excuses and answers here.

This Christmas and New Year’s Day I’m home with my immediate family, no traveling, just a normal holiday time. For us, “normal” this year is lighting a menorah one week and then putting up a Christmas tree the next. Then going to a restaurant overlooking Clearwater Beach for brunch on Christmas day. But compared to some past years…

The photo below was two Decembers ago, when we lived in Mexico. My daughter introduced her Mexican friends to our tradition of baking cookies. (We had an oven, which is kind of a novelty there.)

In Mexico the big holiday is Three Kings Day, the 12th day of Christmas. First we went to the local mall, where the kings paraded through on people in camel suits—that’s a photo from it at the top. Then that night we went to a real parade through downtown, with floats and bands and people throwing candy.

The Three Kings were the rock stars of the show. My favorites were the local beauty queens dressed up like Angels, though the ones dressed up like some Arabian Nights harem fantasy were fun too.

At night, our daughter was told to leave her shoes outside the door and the kings would put presents in them. She left some snacks in a bowl, with a note in Spanish to the kings. In the morning, score!

When my wife and I lived in South Korea teaching English, Christmas was a whirl of neon lights, electronic Santa gadgets, and cheesy music. All the commercialism, without much of that pesky religious part.

Mostly I remember hanging out with the other teachers we knew in Seoul and partying. In other words, it was just another typical day off, but with better food. One teacher was ex-military and had bought a turkey from the U.S. army base store. We drank wine instead of our usual crappy Korean beer.

I did get to dress up as Santa for the Wonderland school performance with my youngest class. (Yes, the school where we taught was called Wonderland.) I’m not exactly round, so that was the first and last time for that.

The place we taught English the first time was Istanbul, Turkey. Christmas there was…non-existent. I don’t have one photo from there that has anything to do with that holiday—only New Year’s Eve.

We went to a buffet brunch at the local Holiday Inn Crowne Plaza because it was the only place in our neighborhood with any hint of the holidays in place. We dined on food from home near what was probably the only Christmas tree in a 10-mile radius. Then we did what most expats seem to do over the holidays when living abroad: meet up with each other somewhere to drink. In our suburb of Istanbul, however, that meant beers with some Turkish friends in the mix too, at the Yesel Ev bar—-Green House.

If was a different story for their big holiday: Ramadan. That involved being woken up each morning by a guy beating a drum in the streets, eating meals hidden from the public view during daylight hours so we wouldn’t offend anyone, and eating lots of candy at the end.

What are your holiday memories in foreign places around the world?

With close to 1,200 posts on this cheap travel blog, you’ve probably missed a few things you’d be interested in.

I’m currently biking and hiking around the Atacama Desert of Chile and will have all kinds of info and photography to share from there later. This is not a cheap place to travel by any means though (I’m here doing writing work for other pubs), so here’s a quick rundown on what visitors to this blog have been reading the most.

1) The cheapest places to live in the world – 2012 edition

2) Quit your job, see the world

3)  6 places to live for super cheap

4) Updates on the cheapest places to travel

5) I want to move abroad. Where do I start?

6) Travel prices in Cambodia

7) Gadgets and gear I always pack

8) How to get around Spirit Air’s baggage extortion