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Thread: Contemplating a big move...

  1. #31
    Re: "I forgot to mention, that we can stay with my brother a few months, virtually rent free, while we sort out options."

    That sounds great. Pensions and long term disability benefits are vanishing here. It will be much easier to plan the permanent housing move, search for new doctors and figure out how to get your husband recognized as a
    disabled, permanent U.S. citizen once you're local. Your 10 years ( 40 quarters ) of taxable US income should help.

    Your husband can still catch Oranje matches on ESPN.






    Last edited by 2drwhofans; 10-05-2014 at 04:09 PM.

  2. #32
    Senior Member elarson's Avatar
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    I think I have one of the few Dutch husbands that hates football!

    I'm inclined to want to start the green card process abroad, so we don't have any hassles when we arrive. We are married 12 years now and he does have his own income support, so I don't think we will get hassled.

    I think we can do ACA for my husband upon receiving a green card: https://www.healthcare.gov/immigrant...ration-status/
    Partner of an incredible stroke survivor. Limitations: hemiparesis and neglect (functional paralysis and complete lack of awareness on one side). Equipment: TiLite ZRA 2 and 2GX, Spinergy ZX-1, RioMobility Firefly. Knowledge: relative newbie for high-level equipment (2012), but willing to try to help others who are new with similar limitations (definitely not a guru, but inquisitive).

  3. #33
    I agree with starting Green card process now. Yes, he definitely can get health coverage via the ACA Marketplace if he has a Green card. He will need to be very careful to pick a PPO type plan that would include the doctors/hospitals he would need to see, and anticipate significant deductibles. But it is definitely much more affordable. It would have been impossible to insure your husband outside of your employer's coverage without the ACA, so the timing is good for you guys.

    That's nice you can stay with a brother for awhile.

    I would strongly recommend living near a major city with known major hospitals/medical schools to be sure that you will be near the specialists your husband may need. It is also getting harder for some people to have their insurance/Medicare accepted by all doctors, but major teaching hospitals in cities tend to accept more.

    Portland and Seattle have excellent hospitals.

  4. #34
    Washington has a state-run health exchange. If I'm not mistaken, enrollees in state-run exchange plans are eligible for tax breaks on the healthcare premiums.
    http://www.wahbexchange.org

  5. #35
    Senior Member elarson's Avatar
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    Thanks hlh. I appreciate all of the input, and hope nobody minds me posting so much about it. It really helps. This is daunting, and although on my radar for many years, current situations make it a bit more rushed.

    Good tip about PPO (Preferred Provider Organization). That is what we have now, and definitely need. I have not even started the ins-and-outs of ACA, but this could have never even been a possibility before ACA for us. Try explaining that to all of the people so against ACA. Although ACA is not perfect, no system is, at least I have the possibility to return to my native country now.

    And yes, being within a reasonable distance of high quality medical care is of the highest priority. It is something we do not have now, even though we are only 1 hour away from Amsterdam. Upon trying to transfer him in 2 life-or-death situations, it was virtually impossible, and also on a few not so urgent occasions. Been there, done that, and won't ever repeat it again.
    [TABLE="width: 315"]
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    Partner of an incredible stroke survivor. Limitations: hemiparesis and neglect (functional paralysis and complete lack of awareness on one side). Equipment: TiLite ZRA 2 and 2GX, Spinergy ZX-1, RioMobility Firefly. Knowledge: relative newbie for high-level equipment (2012), but willing to try to help others who are new with similar limitations (definitely not a guru, but inquisitive).

  6. #36
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    I missed this thread back in 2013, but San Diego meets much of your wish list. Misses big on the small town front, unfortunately. The weather there is perfect for people who cannot tolerate much range in temps.
    Don - Grad Student Emeritus
    T3 ASIA A 26 years post injury

  7. #37
    San Diego housing prices are much higher than eastern Oregon or Washington state (and on the rise).

    (KLD)

  8. #38
    My husband and I are both wheelers and lived in North Carolina for two years, in the mid 1970's. At that time we were surprised at the great accessibility. We were first renting an apartment in Raleigh (very nice unit that had month to month rental option). Drove around Durham and very impressed with access. The state of NC had a fantastic activist wheeler couple - the late Ron Mace and his wife -sorry I can't recall her first name. He was an architect and barrier free design expert. They made the whole state wake up to barrier free design. (You can google them).
    My husband found a job, but alas, it was south of Raleigh/Durham, in a much quieter/conservative area. Great job but hard to connect with community and we left after two years as I could not find employment and missed my big family up North.
    It would be nice if you could travel to some of your potential locations and spend a few days scouting. This would be one area that might have promise.

  9. #39
    You might want to also take a look at this poll:

    http://wallethub.com/edu/best-worst-...bilities/7164/

    (KLD)

  10. #40
    The Pacific Northwest is a good place. I live in Eastern WA.. Spokane.. 4 seasons..So if you don't like snow, west of the Cascades is best. I've been to the UW hospital in Seattle... Northwest Regional Spinal Cord Injury System. They are very knowlegeable.

    Sister lives in Puyallup.. south of Seattle... depends on the traffic to get North. 1 hour to UW from her area, or 2+ if traffics heavy. Seattle area is definitely more high tech, liberal, no state income tax, but we have sales tax. Friend lives in Olympia area and loves it. I think it's less expensive. Vancouver is nice.. near Portland. Oregon has a state income tax and no sales tax.

    Premera PPO has been ok.

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