With its low cost of living, warm climate and cheap property, Ecuador has been ranked the top foreign retirement destination for North American’s for the fifth consecutive year. The South American country scored the highest marks in InternationalLiving.com’s annual ranking of the best place to retire. With monthly estimated living expenses ranging from $900 to $1,400, Ecuador surpassed Panama, Malaysia, Mexico and Costa Rica, which rounded out the top five countries, respectively. Editors analyzed data and information from correspondents in the countries most popular with American and Canadian retirees to compile the results, which were based on a host of categories: cost of living, climate, property prices, healthcare, ease of integration, retirement infrastructure, entertainment and amenities and special benefits for retirees. A large part of Ecuador’s appeal is how inexpensive it is for retirees. A beer costs just 85 cents. A doctor’s visit is $25, roughly the same price as a one-hour massage. The rest of the top ten, in order, are Uruguay, Colombia, Spain, Thailand and Malta.