How To Get Free Medical Attention Through The IESS In Ecuador

OK, so the medical services are not exactly free because you’re paying a monthly premium of around $70 or so.

The IESS is the government managed form of Social Security/medical care in Ecuador. All legal residents and citizens of Ecuador can sign up through www.application-filing-service.com/ regardless of their age. There are no deductibles you need to pay when treated. All medical services are covered (except some medications you may need to pay out of pocket).

You can also affiliate your spouse for a bit less than half the premium you’re paying.

So how do you get service?

Easy.

After at least three months of being affiliated, you call a number in Ecuador 1-800-1000-000 ext 140 to ask for a “cita” appointment and they will tell you a date and medical center location for the appointment (usually within 2 weeks). Spanish only. The mеdісаl lіеn іѕ a lеgаl ѕесurіtу provided tо a medical рrоvіdеr whеn a patient lаtеr becomes a plaintiff іn a lеgаl саѕе. In ѕuсh a ѕіtuаtіоn іf settlement occurs, medical providers аrе compensated аѕ thе аttоrnеу оf record соmреnѕаtеѕ the provider out of thе insurance соllесtіоn рrосееdѕ. Hоwеvеr, аѕ financially sound аѕ a mеdісаl lіеn appears tо bе, in a rеаl wоrld аррlісаtіоn, untold lоѕѕеѕ оссur each уеаr from thе use оf the mеdісаl lіеn. You can use this website for more detail.

They will book you in with a general doctor first to help diagnose you. Then based on that appointment they will re-book you another appointment for a later date with a specialist or for further testing. This is how they work.

And for emergencies?

For emergencies NOT EVERYWHERE will accept IESS patients so you have to go to a specific IESS hospital in the big cities of Ecuador for free emergency assistance, if you go elsewhere they won’t pay it. Every medium to larger city in Ecuador has an IESS center of medical attention which just added new aed equipment.

That’s it, that’s all you really need to know.

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How to get water to your crops in Ecuador

Many agricultural lots in Ecuador, like mine, get their water from a "sei-key-ya" which are tiny canals that have been spliced off a nearby river.  

But to actually get the water to your lot you have to go point by point down the sei-key-ya and redirect the water so it reaches your lot.  

The annual fee to participate is minimal, like $20 a year, but you are required to participate in "mingas" which are "clean-ups" of the mini-canals.  

Most folks then have resevoirs they fill then water their crops at their leisure.  

You then have to close the "sei-key-ya" to your lot and let it flow through or you could flood your lot, like I already did once cause I forgot to close the sei-key-ya once my resevoir was full.  
 

Sound complicated?  It´s not.  

A pain, yes, a little bit.  Glad I just leased the lot I´m farming until I learned this, much better to have your own direct water source like an on-site river or lake.  

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3 exotic Ecuador fruits with big-time export potential

“Damn, that’s good.” I remember thinking when I first tried it upon arriving to Ecuador.

“Really good.”

It was sweet and sour at the same time and really refreshing.  And not like any other fruit flavor I had ever tried in North America, Asia or Europe.

1. The “Naranjilla”.  Or “Lulo” as they say in nearby Colombia.  I don’t think there is even an English word for this fruit like most of these things in Ecuador that don’t exist in North America or Europe.

It grows in the rainy foothills of the Andes and along the edges of the Amazon and are not eaten raw but made into juice by the locals.

It has HUGE local demand, but I think could also be exported.

It’s true, like a lot of fruits, they might not make it to their destination without spoiling or getting bruised up.

But that doesn’t mean you can’t export it!

What about as a canned jam, or as a frozen pulp for juice mixes, or even dried fruit?

The possibilities are endless.

Here are two other fruits I think could have a BIG impact abroad if exported widely.   See pics at the bottom of this email of all three.

2. “Tomate de arbol” or Tree tomato, this fruit doesn’t actually taste like tomatos at all and looks like a mini-nerf American football.  They are not eaten raw but made into juice here by Ecuadorians.  The taste is unique, truly indescribable.  This fruit is grown in the highlands near the big cities like Quito and Cuenca.

3. The “Ovo”.  Many ecuadorians don’t even know about this one.  There is only ONE PLACE in all of Ecuadorwhere this fruit is grown, in the dry Chota Valley north of Ibarra.  They are sold usually along the highway that passes through the valley on the way to Colombia and every time I pass I get some.  They look similar to the coastal variety called “Ciruelas” but the taste is completely different.  The Ovo when ripe is bright orange and sweet with a seed inside like a grape.  The taste is unique and delicious.  On the other hand, the Ciruela on the coast is sold green or red and is bitter and often eaten by locals with salt.  The Ovo is the one I think has BIGexport potential.

Of course, Ecuador has MANY more fruits with big export potential but these were the first three that came to mind.

At the very least on your next trip to Ecuador be SURE you try these three fruits as juice or in their native form.

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ovos-ecuador
ovos in ecuador
naranjilla-ecuador
naranjilla in ecuador
tomate-de-arbol-ecuador
tomate-de-arbol in ecuador

My 2016 Ecuador bucket list: Must dos no one else knows about

You know what they say, by putting it out there you help attract it to you.

Throughout the year I’ll let you know as I do these things and if interested in joining just hit reply and let me know.

So here it goes… my 2016 (primarily Ecuador) bucket list…

1. Go black panther tracking in the Amazon, and in the meantime visit a local indigenous community in Ecuador and meet with a shaman witch-doctor.

2. Hike, and summit Chimborazo, Cotopaxi and/or Cayambe, 19,000+ ft volcanos near Quito.

3. Spearfish or pearl-dive off the coast from Ayampe.

4. Create passive income (s) of at least $3000 a month online or locally here in Ecuador (and write about how I do it on this newsletter!).

5. If the dollar stays high buy a property on coast of Spain (or in Colombia).

6. Open my first large-scale agricultural-operation in Ecuador.

7. Sell out my ocean-view subdivide in Puerto Cayo.

8. Expand my new Guayaquil business to at least 6 suites, Guayaquil Airport Suites Mall del Sol. luxury suites near the airport in Guayaquil at a budget hotel prices.

9. Visit Trinidad, Puerto Rico, and surf El Salvador. With the new cheap flights of JetBlue from Quito to Fort Lauderdale traveling from Ecuador to the Caribbean and the rest of Central America just got a whole lot cheaper. Plus, applying what I now know and show in my Insiders Guide to Random Importing I’m confident I can at least cover the cost of my plane tickets.

10. Begin importing and/or exporting something with continuity.

11. Visit the petrified forest of Puyango along the Ecuador-Peru border.

12. Have a drink, dance and hang out for a night with the artists/hippies and see if they will show me how to make some of their jewelry along the infamous cocktail alley of Montanita.

13. Hitch-hike on the coast of Ecuador. I’ve heard its easy.

14. See an Anaconda in the most remote area of Ecuador, the Yasuni, in the Amazon region before they start their planned drilling.

15. Take the newly-re-opened train through the high Andes from Ibarra to Salinas (a different Salinas than the one on the coast).

16. Hike arguably the most beautiful area of Ecuador from the Lagunas de Atillo to the largest waterfall in Ecuador, the San Rafael Falls and the Volcano Reventador area.

17. Visit the Saquisili (near Latacunga) thursday market for an interesting more authentic (less touristy) look into indigeous highland life.

18. Go silver bargaining along the main plaza in Chordeleg (near Cuenca) where silversmiths flex their creative muscles.

19. Try hand-gliding for the first time off the cliffs of Crucita or Canoa on the coast.

20. Bike down the entire Ecuador coast from Esmeraldas to Salinas. Hope I get to do this one.

21. Watch the Tungurahua Volcano erupt at night from the look out over Banos. Tours can be arranged in one of the many agencies in Baños. Cost $20 per person.

22. Observe the amazing Pink river dolphins as they frollic in the unique flooded rainforest of Cuyabeño in northern Ecuador. Tours can be arranged once on the ground out of Quito or Lago Agrio. Anacondas, monkeys and sloths are also possible to be seen. Canoe Tours start from $40 per person.

23. Scuba dive in the crystalline waters of Galapagos off Wolfe Island where its common to see schools of hundreds of Hammerheads and dozens of whale sharks. 2 Dives start from around $130. Best arranged once on the ground in Santa Cruz Island near the port in Puerto Ayora with local dive shops.

24. Snorkel with the worlds smallest penguin, gigantic manta rays, big marine iguanas and (friendly) reef sharks off las Tintoreras on the picturesque snow-white sands and turqoise waters off Floreana Island in the Galapagos. Day tours to Isabela arranged in Santa Cruz start around $65/person.

25. Eat two buckets of the locally-famous garlic crab at one of the best crabhouses (Manny’s Crangrejal) in Guayaquil, a city known for its numerous crabhouses. Near San Marino Mall any taxi will know where it is. $12.

26. Hunt for fossils along the banks of the Nangaritza River, the only river that connects the Amazon to the Pacific Ocean, high in the Condor Mountain Ridge (Cordillera del Condor). For more try lindoecuadortours.com $25-50 /person.

27. Deep-sea fish for Marlin and Whale-watch in August off the calm shores of Salinas. Trips can be arranged in one of the several agencies along the boardwalk. Cost: Whalewatching from $20 per person, deep sea fishing price varies depending on amount of people.

28. Visit a coffee farm in the Intag near Ibarra and learn the whole process from harvest to belly.

29. Hummingbird watch and observe thousands of butterflies at a butterfly farm in the cloud rainforests of Mindo. Tours can be arranged once in Mindo. Start from $20/person.

30. Trout fish in one of the surreal apline lakes in the barren Cajas National Park near Cuenca. Tours can be arranged with Terra Diversa in Cuenca.

31. Go way off the beaten path and hike to the Lost City (Ciudad Perdida) of Ecuador’s Southern Amazon. Extreme adventure available through local guides only out of Nangaritza. Cost: Highly negotiable.

32. Pamper myself with a the natural mud bath in the mud pools in the dry rainforest of Machalilla National Park and spend the night playing volleyball with the local indigenous and later sleeping in one of their tiki huts. From Puerto Lopez hire a motorcycle taxi and pay a few bucks from them to take you to the indigenous community of Aguas Blancas in the park. Cost: $10 for the day tour to the mud baths and $10/person for the night.

33. View thousands of Orchid species and hummingbirds along the well-kept trails of the Podocarpus National Park easily reached in a $4 taxi ride from the town of Zamora. Free entrance to park.

34. Get a taste of ancient Incan life by hiking the 10km trek from El Tambo to Ingapirca, ancient Incan ruins and effectively Ecuador’s own “Machu Picchu”. You can also take a train, taxi or bus which can be arranged out of Canar. Ruins Entrance fee $6.

35. Get certified as a glider plane pilot in Santo Domingo through a one month course with a local flight instructor. They say if you can fly a plane without an engine you can fly a plane with one. Course starts around $1300. 2015 prices yet to be released.

36.Learn to kite surf with an instructor against the strangly barren cliff landscapes of Santa Marianita near Manta. Classes can be arranged on site. Prices vary.

37. Zip-line through a Banana plantation in Machala and learn all the ins and outs of the interesting business with CristyViajes. Tours start around $20 per person.

38. Fish for Pirana in Laguna Pañacocha, a beautiful black wáter lake backed by cloud forests. To get there, hire a local canoe where the Rio Panacayu meets the Rio Napo, to get there you’ll need to take a Nuevo Rocafuerte Canoe hired in the town of Coca. Price varies depending on season.

39. Visit a Chocolate factory in Mindo.

40. Hike the Quillotoa Volcano and witness the majestic, stunning turquoise-colored lake in the volcano’s crater. Can be done solo by taking a bus from Latacunga and getting off near the base. Cost: $4 bus fare from Latacunga.

41. Mingle with sexy locals dressed to the tilt during the 2 hour river-boat cruise on the all-you-can-drink boat ‘Morgans’ which leaves every night from the boardwalk (Malecon) of Guayaquil. $15 per person includes all you can drink.

42. White-water raft and try kayaking with top rated kayaks in 2018 for the first time in the lazy to fierce rivers around the city of Tena where the activities have made the town famous.

43. Explore the rarely-visited beaches north of Esmeraldas while at night dancing salsa to afro-latino beats after eating the local delicacy of Shrimp cooked in spiced coconut milk (encocado de camaron). I’m sure I’ll feel like I’m in the Caribbean. Cost: $5-6.

44. Just for fun one day try panning for gold in Yantzaza with the locals in the southern Ecuador Amazon.

45. Volunteer in one of the animal shelters in the Ecuadorian Amazon (or start my own here in the highlands.)

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What Russians do in Ecuador

“Hey Dom, so what do Russians do in Ecuador?” My friend asked, astonished by three sets of Russian guests in a row checking into my hotel near the Quito airport.

“Of the ones living here I know, Russians are in the flower exporting business, usually exporting them back to Russia.” Irked by the thought that even with a dozen roses Russian guys are still more masculine than me, I responded.

I continued…”After three-plus years here working with new arrivals, I could break it all down for you if you want?”

Americans sell Ecuadorian real estate to other Americans.

Canadians get into mining, usually in the Amazon region.

The Japanese minimize each minute they have to be in Ecuador, tourists in transit on a visit to the Galapagos.

The Chinese own shrimp farms in the Machala area, or dollar stores with cheap imported goods previously from China, now from Vietnam.

Europeans start an Eco-lodge, or Bed-and-breakfast-type guesthouse deep in a mountain somewhere in Ecuador.

Colombians usually get into the loan-shark business and drive around on intimidating motorcycles.

Cubans walk around wearing funny-looking bleached-out jeans and work at barber shops, or start a sandwich shop.

Indians (from India) start a slightly-above-average shawarma or Indian food restaurant.

Israelis film reality TV shows in the Amazon, really, they do!

Australians are usually 20-something backpackers who could quickly list you all the best pubs in Ecuador, but probably won’t recollect anything about their time here if you ask in a year.

Argentineans are usually hippies juggling under traffic-lights for coins.

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