Hey, @dandays.
When you say guaranteed or not guaranteed, are you talking about actual health or access to medical care?
From what you said, I get the idea I'm working a minimum of half my life, no matter what. Sounds lovely. :)
I gotta think there's more to the equation. Some downside to living anywhere else. I think you've probably chronicled them one more than once in your travel posts. As you say, you'd live there if you'd found the place that was best.
What I'm saying about the health is medical care, the way you made it clear your wife's job provides medical insurance. Imagine living in a place where all you needed to access medical attention is be born. Not anything weird like break your back a minimum 32 hours/week.